Discover the Care that you Need

868-643-1645 (Local),

301-202-5959 (International)

info@comfortkeeperstt.com

Our Care Questionnaire is a great starting point, as well as a simple, commitment-free way of finding out what type of care may work for you and your family.

Discover the Care that you Need

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What type of care do you need?

I am taking this Care Questionnaire for:

Are you experiencing any of the following?
(Check all that apply or if none, click next)

Have you stayed in any of the following in the last 6 months?
(Check all that apply or if none, click next)

Are you still under a doctor's prescribed regime/care plan?

Do you need someone to help you with any of the following?
(Check all that apply or if none, click next)

Do you have difficulty remembering things such as paying your bills each month?

Have you ever been diagnosed with dementia or Alzheimer's?

Have you ever wandered or driven away from a known location and felt disoriented or lost?

Does your loved one require in-home support 24 hours a day?

Is your loved one experiencing any of the following?
(Check all that apply or if none, click next)

Has your loved one stayed in any of the following in the last 6 months?
(Check all that apply or if none, click next)

Are they still under a doctor's prescribed regime/care plan?

Does your loved one need someone to help them with any of the following?
(Check all that apply or if none, click next)

Is your loved one having difficulty remembering things such as paying their bills each month?

Has your loved one ever been diagnosed with dementia or Alzheimer's?

Has your loved one ever wandered or driven away from a known location and felt disoriented or lost?

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Speak with a senior resource counselor to discuss your results or request a full assessment.†

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