Find the right care for yourself or a loved one in just a few simple steps. 1. Daily Activity Assistance How much help does the person need with activities like bathing, dressing, grooming, toileting, cooking and housekeeping? Independent – no help needed Some help with a few tasks Significant help with most tasks Fully dependent for all tasks 2. Cognitive and Memory Condition Which best describes the person’s cognitive health? No issues Mild forgetfulness / occasional confusion Regular confusion / memory loss but manageable Diagnosed dementia/Alzheimer’s (needs secure setting) 3. Supervision and Safety How often does the person need supervision or assistance to remain safe? No supervision needed Occasional check-ins (weekly) Daily assistance, not constant 24/7 supervision required 4. Mobility and Fall Risk How would you describe their mobility and stability? Moves independently (with or without cane/walker) Needs help with transfers / uses wheelchair Limited mobility / multiple falls Bed-bound / total immobility 5. Medical and Medication Needs Do they have chronic conditions and/or need help with medications? Manages meds independently, no chronic issues Needs reminders or help organizing Ongoing medical conditions / nursing oversight Complex medical needs with cognitive impairment 6. Living Situation and Support Network What is the current living situation? Lives independently with family support Lives alone, safety concerns Lives with family/caregiver but needs more daily help Currently in a facility but declining / high needs 7. Behavioral and Safety Concerns Are there any behavioral issues or safety concerns? None Wandering or getting lost Sleep disturbances or day/night confusion Aggression or agitation Difficulty following safety rules (stove left on, etc.) Other concerning behaviors 8. Caregiver Stress and Capacity If family members are currently providing care, how would you describe the caregiver situation? No current family caregivers Family caregivers are managing well with current support Family caregivers are somewhat stressed but managing Family caregivers are overwhelmed and need immediate relief Family caregivers have health issues that limit their ability to help Please provide your contact information Previous Next Submit
