Are you unsure whether an aging relative’s behavior is due to normal aging or other serious factors? Yes No
Has there been a sudden or gradual change that you have been noticing which causes you to wonder if your aging family member can continue to live safely at home? Yes No
Do you live a long distance from your aging relative and find it difficult to visit regularly and assess what’s happening? Yes No
Do you travel frequently and find that there is no one else to check on your parents or other aging relative? Yes No
Are you concerned about what to expect as you or your parents age? Yes No
Do you feel overwhelmed by your caregiving responsibilities, notice that your life is becoming increasingly stressful, and find that it is impacting your work? Yes No
Does your family disagree over what to do about an aging parent and could benefit from the recommendations of an objective professional? Yes No