"My Perfect Solution"
Safe Bathing Appliance Assessment

Please answer the following questions to the best of your ability. You may be answering for yourself, or for a loved one, or a person for whom you are providing help.

Are you living in the home you hope to stay in for the foreseeable future?

Yes

98% of all older Americans want to stay independent and in their own homes as long as possible. The cost of making accessibility modifications to an existing home is virtually always much less expensive than a move. If you are planning on moving in the near future, you may want to wait until you are in your permanent home to make modifications. Or, we can install your tub with a future removal and relocation in mind.

If so, do your rent, or own?

Rent

Own

If you rent, you may need landlord approval before you modify your bathroom.

Are there any other Adults living with youi?

Yes

If you live with other adults, it is important to take into account their current or future needs, as well as whether they might be able to assist you, or require assistance from you.

How often do you bathe?

Every Day

3x Per Week or Fewer

Bathing frequency drops significantly as we age. Bathing less than 3x a week is not considered the best hygiene. As we age, most Americans reduce our bathing frequency, not because our hygiene standards drop, but because the bathing process is too stressful and dangerous.

Do you currently bathe in a tub or a shower?

Tub

Shower

Many people shower because they cannot bathe in a tub. Many people also think showers are safe, when in fact, they may not be.

Do you lean on or touch any walls, glass doors, curtains, or towel bars when you enter or exit the tub or shower?

Yes

Many objects are used for support that are not intended for such use.

Do you find it stressful or difficult to get up off the floor of a bathtub?

Yes

The physical exertion required to raise a human body from the floor can be very dangerous, or impossible for most people. The amount of energy required is significant. Broken sternums, strained shoulders, elbows, knees and wrists are common injuries.

When you shower, do you stand, or use a bench?

Stand

Use Bench

Most people think showers are safer, but even with a proper seat, they can be more dangerous.

Do you use grab bars for support while standing or moving about in the shower or tub?

Yes

Standing under and turning in the water spray, closing eyes while washing, bending to reach body parts and toiletries are all very dangerous and create a great risk of falling. Minimum safety requires a proper grab bar on all walls, and outside the tub or shower.

Do you require assistance when entering or exiting the tub or shower?

Yes

Please complete the following information
when submitting your assessment

First Name

Last Name

Address

City

State

Postal code

Date of birth

Email *

Phone *

I agree to the privacy policy and terms & conditions provided by Bentley Wellness, and by providing my contact information number, I agree to receive communications from the business.