Questions For New ClientsPlease tell me a little bit about your situation to help me create a care plan. Name * First Name Last Name Email * Phone (###) ### #### Age of person in need of my services Name of person in need of my services List all health conditions. If any are chronic diseases, please explain. For example, at what stage in the disease are they? Any incontinence? If yes, please explain. Dementia? If so, type of dementia. Are they mobile? Do they use any devices to aid in walking? Are they capable of bathing themselves? If not, please explain. Are they capable of toileting on their own? If not, please explain. Do they requires any devices such as prosthetics, catheter, colossamy bags, etc.? If so, please list any such devices. In a few sentences, please explain what help is needed most in your unique situation. In a few sentences, please give an example of their daily routine. Are they capable of taking their daily medication with a reminder? In a few sentences, explain what your expectations are in a caregiver. Have they had a recent surgery or are they sceduled for surgery in the next few weeks? Anything else that you would like me to know? Thank you!