Care Placement Quiz - Trusted Senior Pathways

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Who is in need of Senior Care? *

Parent
Spouse
Myself
Someone Else

Helpful Hint: Just answer based on what you know today. Every situation is unique, and we’ll help you find the right path.

What is your loved one’s age? *

What ZIP code are you searching in? *

Enter a 5-digit ZIP code

Helpful Hint: We currently support families in the greater Philadelphia metro area, including surrounding Pennsylvania counties, South Jersey, and northern Delaware.

What is the maximum distance you are willing to travel from a preferred location? *

Under 10 miles
10-20 miles
20-30-miles
Over 30 miles
Only in my zip code

Helpful Hit: Choosing a comfortable travel distance can bring peace of mind and make visiting easier for family and friends

the living? the

Where is your loved one currently living? *

Home (Lives Alone)
Home (Lives with someone)
Assisted Living
Hospital
Nursing Home/Rehab Facility

How are they getting around? *

Independent
Walker
Cane
Wheelchair
Immobile
Bedridden

Do they need assistance with any of the following? Select all that apply *

Medication
Toileting
Bathing
Diabetic Care
Special Diet
Housekeeping
Social Activities
None

Helpful Hint: Care needs can change over time. Compassionate staff are trained to adapt and provide the right level of support as those needs evolve.

Have they experienced any of these behaviors? Next line Select all that apply: *

Wandering
Aggressiveness
Hallucinations
Withdrawal
Sundowning
Judgement Loss
Inappropriateness
24-care
Exit-seeking
None

Helpful Hint: Changes in mood or behavior can sometimes signal that a loved one needs more support. Your answers help us point you in the right direction.

Have memory changes begun to interfere with daily life or safety *

No-Memory changes are mild or a part of normal aging.
Sometimes-Occasional confusion or forgetfulness, but daily routines can still be managed as usual
Yes-Memory issues affect daily routines or safety
Yes-Diagnosed or clearly progressing memory condition

Helpful Hint: It’s normal to notice changes in memory as we age. Your answers help us match your loved one with care that brings them comfort and safety — and gives you peace of mind every day.

What kind of environment feels most supportive for your loved one right now? *

Staying at home with part-time help and companionship
Staying at home with daily care and supervision
Moving to a senior living community with 24-hour support and activities

Helpful Hint: Every family’s situation is unique. These answers simply help us understand where your loved one might feel safest and most supported at this stage.

How independent is your loved one at home right now? *

Fully independent — just needs light companionship or help around the house
Needs help with meals, errands, or bathing
Needs daily personal care (dressing, medication reminders, or mobility support)
Needs professional support each day for health or personal care

How much help do you think your loved one will need each week? *

Occasional visits (fewer than 10 hours a week)
A few days of help (10–25 hours a week)
Most days (26–40 hours a week)
Full‑time or live‑in support (more than 40 hours a week)

What worries you most about keeping your loved one at home? {Check all that apply)

Falls or safety at night
Missed medications or meals
Loneliness or isolation
Memory or confusion issues
Other / Not sure yet

Is the home already set up for safe, comfortable care? *

Yes, everything’s ready
Some changes needed
No — we’ll need help
Not sure yet

Who will be the main contact for scheduling and updates? *

Myself
My Spouse
My Parent
Another family member

Community Options

Independent Living

Perfect for older adults who want to enjoy retirement without the stress of home upkeep or daily chores. Residents stay active, social, and connected while having the freedom to live life on their own terms — with peace of mind knowing help is nearby if needed.

Assisted Living

Compassionate, around-the-clock support for seniors who need help with daily routines such as dressing, bathing, and medications — but who still value independence. It’s the right balance of privacy, dignity, and personalized care in a welcoming community setting.

Memory Care

Secure, specialized support for individuals living with Alzheimer’s or other forms of dementia. Communities provide a structured, calming environment where residents receive consistent care, meaningful engagement, and compassion every day.

In-Home Care

Support provided at home, ranging from a few hours a week to full-time or 24-hour care — from light companionship and household help to daily personal care or skilled nursing. Families choose in-home care when comfort, familiarity, and flexible support matter most.

What are your room preferences within a community? Next line Select all that apply: *

Studio
One Bedroom
Two Bedrooms
Private
Shared

What is the monthly total cost of care you believe you can afford? *

Less than $2,000
$2,000-$5,000
$5,000-$7,000
Greater than $7000

Helpful Hint: The cost of senior living depends on location and level of care. Most communities range from about $2,500 to $9,000 per month, with a national average near $5,200. A Community Care Partner can help you understand typical costs in your area and what’s included.

Is your loved one a veteran or the spouse of a veteran? *

Helpful Hint: If your loved one is a veteran or spouse of a veteran, the VA’s “Aid & Attendance” benefit may help offset care costs. Our Community Care Partners can connect you with resources to check eligibility and apply.

How do you or your loved one plan to pay for the care? Select all that apply: *

Retirement
Family support
Home to Sell
Insurance
VA Benefits
Other

Helpful Hint: Whether you’re clear on your plan or still exploring options, our Community Care Partners can help you review all available payment methods, benefits, and current promotions in your area.

How quickly do you need to find care? *

Immediately
Within 30 days
Within 60 Days
No Rush

Helpful Hint: Whether you need care immediately or are just beginning your search, our Community Care Partners can share current availability and help you schedule tours.

Name *

First

Last

Phone *

Email *