Senior Needs Guide

Real Support for What’s Next

Build My Senior Care Plan
FREE • ABOUT 6 MINUTES

Senior Needs Assessment

Tell us what is happening with your parent or loved one. We’ll help organize care, safety, housing and planning needs into a practical starting point.

What the Assessment Will Cover

Living Situation

Where does the older adult currently live, and is the goal to remain at home, explore senior living or evaluate both options?

Safety and Mobility

Are there falls, difficulty with stairs, bathroom concerns, wheelchair access needs or other barriers in the home?

Personal Care and Health Support

Does the person need help with bathing, dressing, medications, meals, nursing, memory concerns or caregiver supervision?

Everyday Tasks

Is assistance needed with transportation, shopping, housekeeping, lawn care, companionship or medical equipment?

Planning and Finances

Does the family need information about Medicare, Medicaid, long-term-care costs, legal planning or available benefits?

Moving and Housing Decisions

Is the family preparing to downsize, sell a home, relocate or compare independent living, assisted living or memory care?

Before You Begin

This free questionnaire helps us understand the situation and identify relevant service categories. It is not a medical assessment or emergency service, and you should not include medical records, Social Security numbers, payment information or financial account details.

FREE • GUIDED SENIOR NEEDS ASSESSMENT

Tell Us About Your Senior-Care Needs

Complete this guided assessment and we’ll identify relevant services, resources, and participating providers in your Maryland area. Most families finish in about three minutes. Already know what service you need? Use the shorter Get Matched form.

How should we contact you?

I agree that Senior Needs Guide may contact me about this request and may share the information I provided with appropriate participating local providers so they can respond.

Read our Privacy Policy to learn how we use and protect your information →

Senior Needs Guide is not an emergency service. If someone is in immediate danger or needs urgent medical attention, call 911.

FREE • GUIDED SENIOR NEEDS ASSESSMENT

Tell Us About Your Senior-Care Needs

This guided assessment helps us understand the full situation and identify relevant services, resources and participating providers in your Maryland area. Most families finish in about five minutes.

STEP 1 • ABOUT THE PERSON

STEP 2 • NEEDS AND SAFETY

STEP 3 • TIMING AND PREFERENCES

STEP 4 • CONTACT INFORMATION

I consent to Senior Needs Guide contacting me about this request and sharing relevant request information with suitable participating providers. I understand that submitting this form does not guarantee provider availability.

Please do not include medical records, Social Security numbers, financial account information or other highly sensitive information. This assessment is not a medical evaluation or emergency service.

FREE • GUIDED SENIOR NEEDS ASSESSMENT

Tell Us About Your Senior-Care Needs

This guided assessment helps us understand care, safety, housing and planning needs so we can identify relevant services, resources and participating providers in your Maryland area. Most families finish in about six minutes.

STEP 1 • ABOUT THE PERSON

STEP 2 • NEEDS AND SAFETY

STEP 3 • TIMING AND PREFERENCES

STEP 4 • ESTATE AND LEGAL PLANNING

STEP 5 • CONTACT INFORMATION

These questions are used only to identify possible planning resources or professional referrals. Senior Needs Guide does not provide legal advice, determine whether documents are valid or recommend a specific legal strategy.

I consent to Senior Needs Guide contacting me about this request and sharing relevant request information with suitable participating providers. I understand that submitting this form does not guarantee provider availability.

Please do not include copies of legal documents, medical records, Social Security numbers, financial account information or other highly sensitive information. This assessment is not a medical evaluation, legal consultation or emergency service.