Quiz: Does your loved one need assistance? Take this quiz to see if your loved one needs help and how much help they might need. We will send you your score and suggested resources based on the score. You should know: 1.) There is no obligation to use any of the resources we suggest. 2.) Our services may or may not be part of the suggested resources. 3.) You will understand better where you loved one stands when it comes to needing assistance. Acts impulsively (impulse shopping, snap decisions)*Strongly AgreeAgreeDisagreeStrongly DisagreeIs able to recall time, place and locale*Strongly AgreeAgreeDisagreeStrongly DisagreeThey forget to take their medications*Strongly AgreeAgreeDisagreeStrongly DisagreeThey forget to keep or make appointments*Strongly AgreeAgreeDisagreeStrongly DisagreePay their bills on time*Strongly AgreeAgreeDisagreeStrongly DisagreeWithdrawn or depressed*Strongly AgreeAgreeDisagreeStrongly DisagreeStill active in their social events*Strongly AgreeAgreeDisagreeStrongly DisagreeCalls you frequently for assistance*Strongly AgreeAgreeDisagreeStrongly DisagreeIs able to prepare meals*Strongly AgreeAgreeDisagreeStrongly DisagreeIs able to feed self*Strongly AgreeAgreeDisagreeStrongly DisagreeIs able to dress self*Strongly AgreeAgreeDisagreeStrongly DisagreeWears/uses incontinence briefs*Strongly AgreeAgreeDisagreeStrongly DisagreeNo vehicle accidents (even small ones)*Strongly AgreeAgreeDisagreeStrongly DisagreeGets lost driving or walking*Strongly AgreeAgreeDisagreeStrongly DisagreeWhile cooking leaves pots and pans on stove unattended*Strongly AgreeAgreeDisagreeStrongly DisagreeAllow strangers in the house/Lock themselves out*Strongly AgreeAgreeDisagreeStrongly DisagreeTaking four or more medications*Strongly AgreeAgreeDisagreeStrongly DisagreeHave a history of falling*Strongly AgreeAgreeDisagreeStrongly DisagreeUse an assistive device to walk*Strongly AgreeAgreeDisagreeStrongly DisagreeBeen hospitalized in the past 12 months*Strongly AgreeAgreeDisagreeStrongly DisagreeEmail*This is the email address where we will mail the quiz score and suggested resources your loved one might need. Enter Email Confirm Email Do You want to join our mailing list?*We send out newsletters from time to time with useful information in them. There is no set schedule. We never rent or sell your data.YesNoMaybe Later