Get Started I am a Texas Resident * Select... Yes No Who Needs Care at Home? My Self Parent GrandParent Other Relative Friend Other Select... How Old is the Person Who Needs Care? 45-54 55-64 65-74 75-84 85 or older Select... Male or Female? Male Female Select... What is their current living situation? Living Alone at Home Living at Home with Family In the Hospital Needs a Sitter In the Hospital Discharging to Home Assisted Living Independent Senior Living Select... Estimate How Much Care They Might Need A few hours per week More than 20 hours per week 40 or more hours per week Around-the-Clock Care Live-in Care Select... How will care be paid for? Private Funds Long-Term Care Insurance Medicaid Other - (VA Aid and Attendace, Reverse Morgage, etc) Select... What type of Care is Needed? (Check all that apply) Light Meal Preparation Light Laundry Light Housekeeping Companionship Transportation to Appointments Grocery Shopping Errands Bathing Toileting Medication Reminders Respite Care Hospice Zip Code Where Care is Needed Send
