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Comfort Keepers West Melbourne, FL

2112 W. New Haven Ave.
West Melbourne, Florida 32904
(321) 333-5834

Home Care Survey in West Melbourne, FL, and the Surrounding Areas

Name: Comfort Keepers of West Melbourne, Florida
Address: 2112 W. New Haven Ave., West Melbourne, Florida, 32904
Telephone: (321) 333-5834

If you’re exploring in-home support options in West Melbourne, the Comfort Keepers Home Care Survey is designed to help you better understand the level of care you may need. This simple, guided questionnaire walks families through key questions about daily living support, health considerations, and personal preferences.

The survey offered by Comfort Keepers helps identify the type of assistance that best fits each individual’s situation—whether that includes companionship, personal care, or more specialized in-home services. It’s not a medical evaluation, but rather a practical starting point for planning supportive care at home.

By completing the Comfort Keepers Home Care Survey in West Melbourne, families can take a clearer first step toward building a customized care plan that promotes safety, independence, and peace of mind.

Call us today at (321) 333-5834 to learn how Comfort Keepers can help your loved one live safely and comfortably at home.

About Your Loved One

Choose the following statements that apply to your loved one:

Does your loved one wear dirty clothing or the same outfit day after day?

Is it apparent your loved one is not showering or bathing?

Is your loved one losing weight?

Are there signs of confusion such as not knowing the date, where he/she is, or the season of the year?

Do the refrigerator or cupboards contain outdated food; or lack nutritious food?

Is the home cluttered or have mail, newspapers, bills accumulated?

Are you finding expired medications or medications that are not being taken?

ZIP Code where care is needed

About Yourself

Your first name

Your last name

Your email address

Your telephone number

Is this a cell phone number?

Anything else you would like to tell us?

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