Thank you!

During our call, we’ll walk through a few important questions. Knowing them ahead of time helps us make the process smoother and more efficient for you.

What is the maximum distance you are willing to travel from preferred location?

  • Under 10 miles

  • 10-20 miles

  • 20-30 miles

  • 30+ miles

Where is your loved one currently living?

  • Home (lives alone)

  • Home (lives with someone)

  • Assisted living

  • Hospital

  • Nursing home/Rehab facility

How are they getting around?

  • Independent

  • Cane

  • Wheelechair

  • Walker

  • Immobile

  • Bed Ridden

Do they need assistance with any of the following?

  • Medication

  • Bathing

  • Special Diet

  • Social Activities

  • Toileting

  • Diabetic Care

  • House Keeping

Have they experienced any of these behaviors?

  • Wandering

  • Hallucinations

  • Sundowning

  • Inappropriateness

  • Exit-seeking

  • Aggressiveness

  • Withdrawal

  • Judgement Loss

  • 24-Hour Care

Is your loved one currently experiencing memory loss?