Assisted Living Questionnaire

Please complete the quiz below to help determine if it is the right time for Assisted Living!

Note: This survey is meant to serve as a guide and should not be interpreted as advice on when or if home care, assisted living, or another living arrangement is needed. Always consult with a medical professional and use your own judgment to assess the safety of the situation.

To get started, can you share who you are concerned about?MomDadFriendGrandparentSpouseMyselfOtherThis helps us personalize your assessment. Any information you share is private and secure.

What is the person’s approximate age?Under 5555-7071-8081-8990+Age can be a factor in determining the right setting.