We hope you and your loved ones are safe.

The questions in this assessment are meant to surface common and less common aspects of care during crisis and to provide a comprehensive approach to address gaps in them. Please try to answer them in the most accurate way possible.

As a free service to the public in this time of crisis, we’d be happy to answer any questions you may have or walk you through your results and help you mitigate the detected risks. Our trained professionals are available between 9AM - 5PM EST at our COVID-19 hotline 1-888-478-1478.

Question Title

* 1. Are you a caregiver filling this on behalf of someone else?

If you are a caregiver, please answer all the questions in this assessment as if you were the aging adult that you take care of.
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