Hello. To get started, can you tell us who you are doing this for? *

Please select one

Ok, let’s get an idea of where things are today. Where do you or your loved one live? *

How old are you or your loved one? *

Under 55

56-65

66-75

76-85

86-95

Over 95

Can you tell us about you or your loved one’s current living situation? *

Living alone

Living with a partner or spouse

Living with another family member or friend

There is a different living situation

Do you or your loved one drive? *

Yes

Yes, but may want to stop

No, uses other transportation options

No, and there is difficulty getting from place to place

Alright, now let's talk about why it might be time to consider moving into a senior living community for you or your loved one. *

Curious about options

It might be time to consider downsizing

Thinking about current and/or future care need

There's been a recent change (e.g., loss of a partner, an injury, a medical diagnosis)

Concerned about loneliness or isolation

Feeling a little overwhelmed and could use some help

Worries about safety because of health or memory issues

How do you or your loved one manage things like home maintenance or yard work? *

Manages well alone

May want or need help with these things

Can no longer manage these things alone

This isn't an issue

Do you think you or your loved one might need help with any of these personal care activities? You can choose more than one. *

Getting dressed

Using the bathroom

Grooming/personal care (including bathing)

Cooking/eating food

None of these

Do you or your loved one have any trouble managing and taking medications? *

No, manages well alone

Sometimes assistance is needed to refill a prescription

Sometimes reminders are needed to take my medications, and digital tools or pill boxes can help

Yes, frequent reminders are needed and can some times forget to take medications unless reminded

Yes, daily help with taking medications is needed

Do you or your loved one have any trouble walking? *

No, there are no issues with getting around

Sometimes, not very steady (may use a cane or walker)

Yes, trouble getting around, and at risk of falling

Do you or your loved one have any health issues that need daily attention, like an injury, illness, or chronic condition? *

No

Yes, but capable of managing this alone

Yes, and in need of occasional assistance

Yes, in need of daily or regular access to medical care

Are you aware of changes in you or your loved one’s memory and thinking? *

No

Maybe some small changes, but nothing to worry about right now

Yes, starting to notice changes that are becoming increasingly concerning

Yes, starting to notice big changes that impact daily life

Yes, has Alzheimer's or dementia

Now let's talk about how ready you or your loved one might be for change. Tell us a little about your experience with moving. *

Has lived in the same place all of adult life

It's been many years since having moved

Has moved within the last few years

How open-minded are you or your loved one about considering a senior living community? *

Is open to it

Need to think more about it

Would be difficult

Do you or your loved one have access to any programs that can help cover housing and care costs? You can choose more than one. *

Veteran or the spouse of a veteran

Has long-term care (LTC) insurance

Have or qualify for Medicaid

Something else

None of these

Unsure

Do you think you or your loved one are financially prepared for a move? *

Yes, some planning has been done

Maybe, in need of some help understanding options

No

Unsure

Please provide your name, phone number, and email to receive your personalized results. *

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