Assessment | Senior Home Services

Has your client/patient fallen?

No

Once

More than once

My client/patient is home alone:

Never

Occassionally

Often

Always

Is your client/patient subject to loneliness?

No

Yes

Does your client/patient wander

No

Yes

My client/patient lives in a:

Private home

Apartment or condo with doorman / front desk

Apartment or condo without doorman or front desk

Independent living facility

Assisted living facility

My client/patient was recently discharged

No

Yes - from hospital

Yes - from skilled nursing facility

Yes - from rehab