survey – New Horizon Homes | Assisted Residential Care

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Are you looking for yourself or a loved one?

Okay, let's get a handle on where things are today. Where do you live?

Can you tell us about current living situation?

lives alone lives with a partner or spouse lives with another family member or friend There's a different living situation

Do you or the person in question currently drive?

Alright, now let's talk about why you think it might be time to consider a move to a senior living community. You can choose more than one.

I am just curious about options. It might be time to consider downsizing. I am concerned that care needs are not being met. I am worried about a recent change (e.g., loss of a partner, an injury, a medical diagnosis). I am worried about loneliness or isolation. I am feeling a little overwhelmed and could use some help. I worry about safety because of health or memory issues.

How does you or the person in question manage things like home maintenance or yard work?

How about other things around the house? Do you think they might like or need help with any of these activities? You can choose more than one.

Do you think the person might need help with any of these personal care activities? You can choose more than one.

Do they have any trouble managing and taking medications?

No, they manage well on their own. Sometimes they need assistance to refill a prescription. Sometimes they need reminders to take their medications, and digital tools or pill boxes can help. Yes, they need frequent reminders and can forget to take their medications unless someone is with them. Yes, they need daily help with taking their medications. I'm not sure

Do they have any trouble walking?

No, they have no problem getting around. Sometimes, they're not as steady as they used to be (and may use a cane or walker). Yes, they have trouble getting around, and are at risk of falling. I'm not sure.

Do they have any health issues that need daily attention, like an injury, illness, or chronic condition?

No Yes, but they manage this on their own Yes, and they need occasional assistance Yes, they need daily or regular access to medical care I'm not sure

Are you aware of changes in this person's memory and thinking?

None that I'm aware of Maybe some small changes, but nothing I'm worried about right now Yes, I am starting to notice changes that I am worried about Yes, I am noticing big changes that impact their daily life Yes, and they have Alzheimer's or dementia I'm not sure

Okay, let's talk about how ready the person might be for change. Tell us a little about their experience with moving.

They've lived in the same place their whole adult life It's been many years since they moved They have moved within the last few years I'm not sure

How open-minded is the person about considering a senior living community?

They are open to it We need to talk more about it This would be difficult for them I'm not sure

Does the person have access to any programs that can help cover housing and care costs? You can choose more than one.

Do they currently make a monthly housing payment?

Yes, they make a monthly rent payment Yes, they make a monthly mortgage payment No, their housing is paid off There is another arrangement I'm not sure

Do you think the person is financially prepared for a move?

Yes, they have done some planning Maybe, we need some help understanding options No, I don't think so I'm not sure

Are other family members or friends helping with this decision?

Yes, and we're on the same page Yes, but we're having a hard time agreeing No, we are handling this on our own I'm not sure

When you think about this decision, what would make it easier? You can choose more than one.

Having a clearer picture of what life at a senior living community is like Feeling confident that senior living is the right choice Feeling confident that it’s the right time to make a change Feeling confident about our financial situation Getting everyone in my family on the same page Something else I'm not sure

Are you interested in talking with an expert at New Horizon Homes about options that might be a good fit for the person?

Yes Maybe No, not right now

Finally, would you like to receive occasional emails about options from New Horizon Homes?

Yes No

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