Would Someone You Know Benefit from Memory Care?

What is the relationship between you and the person who may benefit from memory care support?

Do you forget the date, time, month, or year?

Does your spouse forget the date, time, month, or year?

Does your family forget the date, time, month, or year?

Does your friend forget the date, time, month, or year?

Does your dependent forget the date, time, month, or year?

Are there increasing safety concerns at home, such as wandering, leaving appliances on, or accidents due to forgetfulness?

Are you experiencing significant stress in caring for your self that’s negatively impacting your well-being?

Are you experiencing significant stress in caring for your spouse that’s negatively impacting your well-being?

Are you experiencing significant stress in caring for your family that’s negatively impacting your well-being?

Are you experiencing significant stress in caring for your friend that’s negatively impacting your well-being?

Are you experiencing significant stress in caring for your dependent that’s negatively impacting your well-being?

Do you experience personality changes that are out of character, such as heightened agitation or aggression?

Does your spouse experience personality changes that are out of character, such as heightened agitation or aggression?

Does your family experience personality changes that are out of character, such as heightened agitation or aggression?

Does your friend experience personality changes that are out of character, such as heightened agitation or aggression?

Does your dependent experience personality changes that are out of character, such as heightened agitation or aggression?

How often do you seem sad, withdrawn, or disengaged?

How often does your spouse seem sad, withdrawn, or disengaged?

How often does your family seem sad, withdrawn, or disengaged?

How often does your friend seem sad, withdrawn, or disengaged?

How often does your dependent seem sad, withdrawn, or disengaged?

Do you find it challenging to meet your increasing care needs, such as assistance with bathing or dressing?

Do you find it challenging to meet your spouse's increasing care needs, such as assistance with bathing or dressing?

Do you find it challenging to meet your family's increasing care needs, such as assistance with bathing or dressing?

Do you find it challenging to meet your friend's increasing care needs, such as assistance with bathing or dressing?

Do you find it challenging to meet your dependent's increasing care needs, such as assistance with bathing or dressing?

How often do you forget to take medications or take too many?

How often does your spouse forget to take medications or take too many?

How often does your family forget to take medications or take too many?

How often does your friend forget to take medications or take too many?

How often does your dependent forget to take medications or take too many?

How often do you worry about your safety?

How often do you worry about your spouse's safety (when you are not with them)?

How often do you worry about your family's safety (when you are not with them)?

How often do you worry about your friend's safety (when you are not with them)?

How often do you worry about your dependent's safety (when you are not with them)?

Are you struggling to manage personal responsibilities, such as preparing meals or managing finances?

Is your spouse struggling to manage personal responsibilities, such as preparing meals or managing finances?

Is your family struggling to manage personal responsibilities, such as preparing meals or managing finances?

Is your friend struggling to manage personal responsibilities, such as preparing meals or managing finances?

Is your dependent struggling to manage personal responsibilities, such as preparing meals or managing finances?

Do you ever have trouble finding their way back home after leaving?

Does your spouse ever have trouble finding their way back home after leaving?

Does your family ever have trouble finding their way back home after leaving?

Does your friend ever have trouble finding their way back home after leaving?

Does your dependent ever have trouble finding their way back home after leaving?