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Living Arrangements/Accomodations
Assisted Living
Secure Care
Cottages/Independent Living
Floor Plans
Virtual Tour
Staying Active
Personalized Services
Supportive Services
Health and Wellness
Amenities
About Us
The Manor Team
Testimonials From Our Families
The Manor Difference
Directions/Contact Us
Careers
Blog
Activity Calendar
Go To Little Rock Community
The Manor Blog
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I am taking this questionnaire for:
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Does your loved one require in-home support 24 hours a day?
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Is your loved one experiencing any of the following? (check all that apply)
Trouble Hearing / Hearing Loss
Low Vision / Difficulty Seeing
Difficulty Walking
Difficulty Eating
Depression
Falling
If your loved one has stayed at any of the following in the last 6 months: hospital, skilled nursing facility, assisted living facility, inpatient stay, are they still under a doctor's prescribed regime/care plan?
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No
Does your loved one need someone to help them with any of the following (check all that apply):
Getting Dressed
Bathing
Using the bathroom
Preparing meals
Taking medications
Going to the doctor
Is your loved one having difficulty remembering to pay their bills each month?
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No
Has your loved one been diagnosed with Alzheimer's or dementia?
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No
Has your loved one ever wandered away or felt disoriented or lost?
Yes
No
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