What is your loved one’s age?

Where are you looking?

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

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

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?

Do they need assistance with any of the
following?

Select all that apply:

Have they experienced any of these
behaviors?

Select all that apply:

Is your loved one currently experiencing
memory loss?

• Yes
• No

Select the best senior living option that meets your loved one’s needs

You may also select additional options to include in your results

• Assisted Living
• Independent Living Faculty
• Memory Care
• RCFE
• Nursing Homes

What are your room preferences within a community?

Select all that apply:

• Studio
• One bedroom
• Two bedroom
• Private
• Shared

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

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

• Yes
• No

How do you or your loved one plan to pay for care?

Select all that apply:

How quickly do you need to find care?

• Immediately
• Within 30 days
• Within 60 days
• No rush