(717) 569-0451
Subheader Linkedin Icon Subheader Facebook Icon
Request a FREE Consultation
Request a FREE Consultation

Care Survey

It may be time to consider home care services for your loved one!
Our brief Care Survey can help you better understand your loved one’s needs of support. Answer with a “yes” or a “no” to the questions you see below. An email will be sent to you that shows your results. We will view your answers and personally email or call you (depending on your requested form of communication) to discuss your options. If we don’t think you require in-home services, we’ll tell you! We will always respond to your survey inquiry.
Thank you for trusting Central Penn.

    1. Has your loved one lost their appetite or recently lost weight?

    2. Does your loved one have specific dietary needs and require assistance with meal preparation?

    3. Has your loved one lost interest in changing out of their bed clothes for the day?

    4. Are there times that your loved one struggles to communicate their needs or seems confused?

    5. Has your loved lost interest in their appearance or daily hygiene? Forgetting or refusing to wash up, brush their teeth, comb their hair or change out of dirty clothes?

    6. Does your loved one struggle with daily chores of a household? Laundry, light housekeeping, changing linens?

    7. Has your loved one become socially withdrawn, possibly communicating less with family or friends?

    8. Have you noticed unexplained bruising, possibly from an unreported fall?

    9. Does your loved one need daily reminders to take their medications correctly?

    10. Is your loved one afraid to be alone in their home?

    11. Do you have concerns around their overall health and wellbeing, safety, nutrition, hygiene or social interactions?


    Preferred contact method

    Best time to reach

    Previos
    Next
    Thank a Veteran Program
    We want to thank all of our veterans for serving our country by offering them a 10% discount* on all regular rate weekday PCA Home Care services.
    *Cannot be combined with any other discounts.
    Request a Free Consultation

    Error: Contact form not found.