Elderly Care Assessment

Answer a few questions about your loved one — we'll recommend the right care tier and price.

📋
✓ Free Assessment
Get Recommended Tier
In 2 Minutes
No obligation
⭐ Nurse-reviewed

Care Assessment Questionnaire

Help us understand your loved one's needs

1. Contact 2. Physical Health 3. Cognitive 4. Daily Living 5. Result
🏃 Fully independent - walks without help
🚶 Needs occasional support (cane/walking stick)
🪑 Needs regular assistance (walker/wheelchair)
🛏️ Bedridden - requires full assistance
None - generally healthy
Mild - managed with medication
Moderate - requires regular monitoring
Severe - multiple conditions/complex care
Clear - no memory issues
Mild forgetfulness - occasional confusion
Moderate - significant memory loss
Severe - advanced dementia/Alzheimer's
Never
Rarely
Occasionally
Frequently
Independent
Needs supervision
Needs hands-on assistance
Fully dependent
Independent - full control
Occasional accidents
Frequent accidents - needs reminders
Incontinent - requires full assistance
Feeds self independently
Needs meal preparation only
Needs supervision during meals
Requires feeding assistance

Complete the assessment to see your recommended care tier