After completing the questionnaire, you can discuss your results with a senior resource counselor and schedule a full assessment to discover if H U Assisted Living is right for you.

H U Assisted Living Homes (Care Questionnaire)

I am taking this Care Questionnaire for.

Will you require in-home support 24 hours a day?

Is your loved one experiencing any of the following? (Check all that apply)

Has your loved one stayed in any of the following in the last 6 months? (Check all that apply)

Does your loved one need someone to help them with any of the following? (Check all that apply)

Is your loved one having difficulty remembering things such as paying their bills each month?

Has your loved one ever been diagnosed with dementia or Alzheimer's?

Has your loved one ever wandered or driven away from a known location and felt disoriented or lost?

4 + 6 =

(c) 2021 H U Assisted Living Homes LLC |Terms | Privacy Policy | Designed by Bnax Designs