Fill the details below to submit your Care Request
Get A Fair Price For Your Care Package
Questionnaire
Care User Info
Summary
What Type of Services are you looking for?
Which type of home care service do you need?
What type of care Task do you need?
What level of care you required?
Continue to the wellness data survey to help us to assess and determine the appropriate level of care for you.
When would you like the care package to start?
Start Date & Time
End Date
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Agency Name
from £12.75 / Hourly
Regulated Rating
Outstanding
Care Type Visiting Care
Care Package Type 1 Hour Package
Agency Name
from £12.75 / Hourly
Regulated Rating
Outstanding
Care Type Visiting Care
Care Package Type 1 Hour Package
Agency Name
from £12.75 / Hourly
Regulated Rating
Outstanding
Care Type Visiting Care
Care Package Type 1 Hour Package
Agency Name
from £12.75 / Hourly
Regulated Rating
Outstanding
Care Type Visiting Care
Care Package Type 1 Hour Package
Agency Name
from £12.75 / Hourly
Regulated Rating
Outstanding
Care Type Visiting Care
Care Package Type 1 Hour Package
Agency Name
from £12.75 / Hourly
Regulated Rating
Outstanding
Care Type Visiting Care
Care Package Type 1 Hour Package
Agency Name
from £12.75 / Hourly
Regulated Rating
Outstanding
Care Type Visiting Care
Care Package Type 1 Hour Package
Agency Name
from £12.75 / Hourly
Regulated Rating
Outstanding
Care Type Visiting Care
Care Package Type 1 Hour Package
Q1. Did you engage in any physical activity today?
Q2. What type of physical activity did you do?
Q3. How independent are you in daily living activities?
Q4. What type of daily activity did you do?
Q5. How do you manage taking your medications?
Q6. If "Sometimes Need Reminders" Who usually reminds you to take your medications?
Q7. How would you describe your physical health with regard to chronic conditions?
Q8. How often do these conditions affect your daily activities?
Q9. How safe do you feel from fall risks in your home environment?
Q10. What concerns you most about fall risks in your home?
Your band score is 30, which is
Low Care Band.
Reduce your stress.
Suggested care package:
Care Package Name
Quesending - Caregivers
Check out the most frequently asked questions for a Elders Care as a guide to help you Care your loved once.
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