questionnaire demo

Is Senior Living The Right Choice?

Does your loved one need help with daily activities?

Which of the following activities does your loved one need help with daily?

If Other, Please Specify

To what extent does your loved one need help with the selected daily activities?

If Other, Please Specify

Is maintaining their home becoming difficult for them?

Do they have their drivers license?

Are they struggling with mobility?

Do they have a chronic health condition that requires ongoing monitoring or medical care?

Has your loved one shown signs of memory loss, confusion, or difficulty managing finances?

Does your loved one spend most of their time alone, with little social interaction?

Have they become more withdrawn, lonely, or depressed?

Is caregiving affecting the well-being of family members?

Are family members struggling to provide the necessary care due to time, distance, or burnout?

Would professional care improve your loved one’s quality of life?

Have you determined who your decision makers are?

Do you have a timeline for when you would like your loved one to be in a senior living community?

Do you know how much a senior living community costs?

Do you know what your loved ones' budget and financial flexibility are?

Do you know if your loved one has long-term care insurance or is a war Veteran?

Have you involved your other loved ones in the decision-making process?

Have you scheduled tours with senior living communities before? (Please select all that apply.)

Do you want a community with social activities, religious services, or specific amenities? (Please select all that apply.)

Do you have a strategy to help them transition emotionally?

Your loved one likely qualifies for IL and/or AL based on the answers you provided regarding: Daily Activities, Mobility, Health, and Socialization.

Your loved one likely qualifies for AL and/or MC based on the answers you provided regarding: Daily Activities, Mobility, Health, Socialization, and Cognitive Functions.

In order to better determine how we can help you plan for your loved one's future an advisor will reach out to you soon!

Thanks for sharing your thoughts—now take the next step toward a vibrant, worry-free lifestyle! Fill out the form below to get personalized info and discover how our community can feel like home.

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