Aging-in-Place Readiness Check
This short form helps us prepare for your consultation so we can give you the most helpful guidance possible.
Section 1 - Basic Information
Your relationship to the senior
Section 2 - What's Happening
Where is the senior currently living?
Have there been any of the following in the last 6 months?
Section 3 - Looking Ahead
How sustainable is the current situation for you personally?
Section 4 - Next steps
Are you the primary decision-maker?
Are you currenlty speaking with other providers?
If we're a good fit, how soon would you want support in place?