Self Care Assessment

Quiz Questions

• 1.
  Who is taking this care assessment?

  • A.
    I am taking this assessment for a family member.
  • B.
    I am taking this care to figure out if I need care.
• 2.
  Do you or your loved one have expired medications or medications that are not being taken?

  • A.
    Yes
  • B.
    No
• 3.
  Has you or your loved ones home become cluttered with unopened mail left accumulating?

  • A.
    Yes
  • B.
    No
• 4.
  Are there any odors in their residence from an unkept animal or spoiled food?

  • A.
    Yes
  • B.
    No
• 5.
  Has their personality become flattened & more of an introvert?

  • A.
    Yes
  • B.
    No
• 6.
  Are they at risk of falling?

  • A.
    Yes
  • B.
    No
• 7.
  Do they have unexplained bruises on their body?

  • A.
    Yes
  • B.
    No
• 8.
  Are they unable to recognize people they’ve known for years?

  • A.
    Yes
  • B.
    No
• 9.
  Are they forgetting to shower, brush their teeth, put in their teeth or do their hair?

  • A.
    Yes
  • B.
    No
• 10.
  Has their appetite diminished and now they are losing weight?

  • A.
    Yes
  • B.
    No
• 11.
  Are they wearing pajamas outside and/or wearing dirty/stained clothing?

  • A.
    Yes
  • B.
    No

Quiz Outcomes

• 1.
  Based on your results, it seems like you or your loved one may not be in need of In-Home care. 

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  If you would like to gather information about our services and what we do to serve our clients, employees, and community, contact us today at 1-800-930-7209 or email us today at destinycares@destinylifepartners.com .
• 2.
  Based on your results, it seems like you or your loved one may be in need of In-Home care. 

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  Allow us to guide you through the process. Contact us today at 1-800-930-7209 or email us today at destinycares@destinylifepartners.com . A client care representative will assist you with developing a care plan and discussing your options for treatment.