Is It Time for In-Home Care?

This quick assessment can help you understand your loved one's needs and your own. Check the box for each statement that currently applies.

Daily Activities & Home Management

Difficulty with bathing, dressing, or grooming. Forgetting to take medications or taking incorrect dosages. Struggling to prepare meals or a noticeable change in appetite/weight. The home is becoming noticeably cluttered, messy, or unclean.

Health, Safety & Mobility

One or more falls within the last six months. Unexplained bruises or injuries. Difficulty getting up from a chair or walking steadily. No longer driving or seems unsafe behind the wheel.

Cognitive & Emotional Well-being

Increased confusion, memory loss, or repeating questions. Missing important appointments or social events. Seems more withdrawn, lonely, or has lost interest in hobbies. Difficulty managing mail, bills, or finances.

Family & Caregiver Strain

You feel overwhelmed, stressed, or worried about being the primary caregiver. Caregiving duties are interfering with your work or personal life. You are unsure how to handle certain care situations or behaviors.

Is It Time for In-Home Care?

Daily Activities & Home Management

Health, Safety & Mobility

Cognitive & Emotional Well-being

Family & Caregiver Strain

Your Assessment Results

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