Self Selection Tool

Discover which service is best for you or your loved one.

Who are you taking the questionnaire for?

Myself

My Parent

My partner

Someone else

Which reason best describes why you are looking into senior living services?

Interested in downsizing from your existing home and still remaining independent

you or a loved one is feeling unsafe living alone and/or completing activities of daily living (ADLs)

in need of short-term hospital to home rehabilitation services

you or your loved one has been diagnosed with Alzheimers or dementia

you are a caregiver needing a break/ additional support

you or your loved one have a significant medical condition that requires additional services at this time

Has maintaining a home become a challenge?

No, I am still fully independent and capable of maintaining my home but Im interested in the benefits of senior living community

It is becoming a challenge, but I am still managing on my own

Yes, I am having to hire help or rely on family/friends to maintain my home

yes, I am not managing it and am ready to make a move

What type of senior living appeals to you?

Private home at a community with levels of care available as I need them

Apartment with close access to amenities and services and levels of care available as I need them

Apartment rental with access to amenities and services

Apartment rental based on my income

Do you or a loved one require assistance with daily living activies such as showering, medication management, meals, hygiene, transportation, housekeeping, laundry?

No, I do not need assistance with any daily activities

Yes, I do need assistance with 1 of these activities

Yes, I do need assitance with 2 of these

Yes, I do need assitance with 3 or more of these

Have you or your loved one been diagnosed with Alzheimer's or dementia?

No, my loved one or I have not been diagnosed with dementia

No, my loved one or I have not been diagnosed but there are memory concerns at this time

Yes, my loved one or I have been diagnosed with dementia and need some assistance

Yes, my loved one or I have been diagnosed with dementia and need 24-hour care

Has your loved one stayed in any of the following within the last 6 months?

Hospital

Assisted Living

Short-Term Rehab

In-patient skilled nursing stay

None of the above

Do you or your loved one ever experience confusion?

You or your loved one are completely aware of surroundings, recognize and remember people, and know dates and times without reminders

You or your loved one have trouble remembering things that happened recently

You or your loved one have difficulty remembering names, the date and/or time of day.

You or your loved one do not recognize people and are unable to recognize date, time and/or surroundings

Are you or your loved one:

Currently in the hospital and in need of strengthening prior to returning home

Planning an elective surgery and need rehabilitation

Been discharged from the hospital in the past 30 days

Receiving home care as part of a hospital discharge plan

None of the above

Have you or your loved one:

Been diagnosed with a serious medical condition that has recently made living in your home more difficult

Recently had a medical event such as a stroke or a fall

Recently been experiencing changes in memory

Noticed any changes in the ability to provide care for oneself

None of the above

Are you or your loved one:

Able to shower or bathe as per their regular routine

Able to shower or bathe if someone is available to provide assistance if needed

Able to get into the shower or bath by themselves, but need assistance once in the shower or tub

In need of total assistance to take a bath or shower

Do you or your loved one:

Move freely and independently with or without an assistive device, such as a cane, walker or wheelchair in all situations

Move independently for short distances with or without an assistive device such as a cane, walker or wheelchair on flat surfaces only

Walk only a few steps with or without an assistive device then need to rest

Not have the ability to walk or move independently

Do you ever find a need as a caregiver to take a break from caregiving?

yes

only during the day when I am at work

not at the moment, but I could see a need for a break in the future

Have you ever postponed a vacation or missed a special event due to your responsibilites as a caregivier?

yes

not yet, but I am worried that it might in the future

Would you find benefit in exploring care options on a trial basis?

yes