Assessment Survey

Ques200Do you have a family  member who may be in need of periodic or daily assistance?

Take our quick assessment survey to determine whether your loved one is a good candidate for home nursing care.

  •  
    Does your loved one often wear clothing that is dirty or has noticeable stains, or seem to wear the same clothing day or night?
  •  
    Does he or she often wear nightclothes to visit you during the day, or day clothes at night?
  •  
    Is your family member obviously neglecting to bathe or shower, or forgetting to brush his/her hair?
  •  
    Has your loved one recently lost weight?
  •  
    Does your family member sometimes have trouble remembering your name or following the thread of conversation?
  •  
    Is your loved on more withdrawn then usual, or does he/she seem less communicative?
  •  
    Does his/her home have very little food in the cupboards or refrigerator?
  •  
    Are there piles of mail, newspapers, or unwashed dishes accumulating at home?
  •  
    Are there expired medications lying around unused at your loved one's home?
  •