Home Care
Skilled Nursing
Signature Care Services
Physical Therapy/Occupational Therapy
Yes
No
Email
Phone
Text
No Preference
Immediately
Within 2 Weeks
Within 4 Weeks
Within 8 Weeks
Day
Evening
Yes
No
  • Home Care
    Hospice Services
    Homemaker / Household Services
    Medication Reminders
    Live-In Home Care
    Home Healthcare (Medical)
    Companion Services
  • Meal Preparation
    Home / Safety Monitoring
    Assistance with Ambulation or Mobility
    Transportation Non-Medical (e.g. Errands, Shopping)
    Personal Care (e.g. Bathing, Dressing, Personal Hygiene)
    Home Care for a Veteran or Surviving Spouse
Self
Spouse
Parent
Minor
Grandparent
In-Law
Sibling
Other Relative
Friend
Employee
Male
Female
  • ALS
    Incontinence
    Alzheimer's / Dementia
    Joint Replacement
    Ambulatory Problems
    Macular Degeneration / Low Vision
    Arthritis
    Quadriplegic
    Cancer
    Osteoporosis
    Colostomy
  • Parkinson's
    Depression
    Respiratory Disease
    Diabetes
    Stroke
    Hearing Impaired
    Surgical Recovery
    Heart Disease
    Other Eye Disorders & Diseases
    Disease or Condition Not Listed
    None / Unsure
At home and living independently
Living with family
At home with some services in place
Hospital or rehabilitation facility
Assisted living facility
Skilled Nursing Facility / Nursing Home
Geriatric Care
Management Certified
Legal Senior Advisor/Elder Law
Senior Services
Financing Options (e.g., Reverse Mortgages, Life Settlements, etc.)
Private Pay
Long-Term care insurance
Less than $250
$250 to $500
$501 to $1,000
$1,001 to $1,500
Over $1,500
Less than 4 hours/day
4 hours/day a couple of times a week
4 hours/day daily
Just on the weekends
24/7 services
Live-in services
Very receptive
No preference
Resistant to help
Somewhat receptive
We have not discussed it yet
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