Questionnaire

Could You Benefit From
Home Health Care Assistance?

Do you or a loved one have physical limitations which make it difficult to:

Get dressed in the mornings?

Get in and out of the bathtub or shower?

Complete grooming tasks such as shaving, shampooing or combing your hair, or performing oral hygiene and proper nail care?

Get up from chairs or out of bed in the morning?

Do laundry?

Maintain a clean and clutter free home environment?

Get to the bathroom in time before voiding?

Or, do you or a loved one ever have problems with:

Constipation?

Reading the labels on medication bottles or the numbers on the telephone?

Finding transportation to Dr. appointments, grocery shopping, or running personal errands?

Remembering if bills or other financial obligations have been met?

Planning and preparing nutritious meals?

Or, are you fearful of you or a loved one falling in the home with nobody there to help?

If you have answered yes to any of these questions, Nurse Force is here to help. We can provide the assistance you need to enable you to remain in your home, apartment, or assisted living center at a cost-effective rate. We have qualified compassionate staff available to assist you anywhere from a few hours a day to 24 hours a day seven days a week.

If you’d like to have peace of mind for yourself or a loved one, send us an e-mail at info@nurseforce.com or call us at 515-224-4566. We deliver the care people need, when they need it, and where they need it. . . at home.