6 quick questions • ~60 seconds

Home Health Assessment Quiz

Keeping You Home, Keeping You Safe

Answer a few questions to see if home health care could be a good fit for you or a loved one. This won’t share medical details and takes under a minute.

1. Skilled care needs

Has a doctor recently recommended, or do you think you need, skilled nursing or therapy at home (nursing, physical therapy, occupational or speech therapy)?

Yes No

2. Homebound status

Do you have difficulty leaving home without help from another person or a device (walker, wheelchair, cane), or do you leave home infrequently?

Yes No

3. Recent health change

Have you had a recent hospitalization, ER/urgent care visit, or a significant change in your health in the last 30 days?

Yes No

4. Daily activities & safety

Do you need help with daily activities (such as bathing, dressing, toileting, preparing meals, or taking medications), or have you had a fall/near-fall in the last 6 months?

Yes No

5. Chronic conditions

Do you manage one or more chronic conditions (for example, heart failure, COPD, diabetes, stroke, or dementia) that could benefit from monitoring and education at home?

Yes No

6. Physician oversight

Do you have a primary care physician or specialist who can provide orders and oversee a plan of care at home, if needed?

Yes No

This quiz is for information only and doesn’t replace medical advice. Eligibility and coverage depend on your clinician’s orders and your health plan.

Your Results

You answered 0 of 6 questions in a way that suggests you may benefit from home health services.

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