Connect with us - Crossroads Eldercare Options

1. What prompted you to contact us?

Pre-planning

Writings on the wall

Full blown crisis

2. What sort of information are you most looking for (check all that apply)

Subsidized housing or apartment

Independent living

Care facility (Assisted living, nursing home, dementia community)

Respite care (Temporary help)

Home care

Financial options

Senior resources

3. Where are they right now?

Home

Hospital

Rehab

Senior care facility

Living with family/friends

Other

4. How old are they?

62 and under

65+

75+

85+

5. What care needs do they have?

Walking

Standing

Dressing

Using the bathroom

Medication management

Meal preparation

Transportation

Cueing and redirection for memory loss

Safety needs (Wandering, using the stove, fraud target)

6. What health conditions do they have?

Dementia/Alzheimer's

Parkinson's

Congestive heart failure or COPD

Diabetes

Depression/Anxiety

Aggression/Other behaviors

Wandering/Exit seeking

7. What area are you looking for services?

NW GR

SW GR

SE GR

NE GR

Lakeshore

Other

If you selected ' Other', please describe

8. What financial benefits do they have now?

Medicaid

Medicare

Disability

Medicaid waiver

Veteran

Spouse of a veteran

Long-term care insurance

Reverse mortgage

9. What is their gross income (per person if a couple)

Less than $1,000 per month

$1,000 to $1,500 per month

$1,500 to $2,200 per month

$2,200 to $3,500 per month

$3,500+

10. Do they have savings?

No, they live on income alone

If yes,

Less than $10,000

$10,000 to $50,000

$50,000 to $100,000

$100,000 +

Anything else you'd like us to know?

How did you hear about Crossroads Eldercare Options?

Fill out our questionnaire to get immediate options for your loved one.