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Comfort Keepers Henderson, NV

2920 N Green Valley Pkwy #412
Henderson, Nevada 89014
(702) 323-0992

Comfort Keepers Home Care Survey – Henderson, NV

Name: Comfort Keepers In Home Care
Address: 2920 N Green Valley Pkwy #412, Henderson, Nevada, 89014
Telephone: (702) 323-0992

Finding the proper home care starts with understanding your needs. Our Home Care Survey helps identify the personalized care you or your loved ones require, from companionship to specialized medical support.

Completing the survey is quick and easy. It will allow us to match you with the most suitable Comfort Keepers caregivers in Henderson, NV. Take the first step toward compassionate, professional home care today. Feel free to give us a call if you have any questions.

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Do the refrigerator or cupboards contain outdated food; or lack nutritious food?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