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What's best for you?

Please think about your needs and capabilities and answer the questions below.

Read the questions carefully and consider the level of care you think you need in each case then give it a numerical score between 0 and 10 (0 being no help and 10 being lots of help).

There are five blocks of questions in all and you must complete all 5 blocks of questions to receive an indication of the type of care that may be appropriate for you.

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question 1

Assistance with walking

Getting in or out of bed

Bathing

Dressing

Feeding

Using the lavatory

Preparation of special diets

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question 2

Night Care

Incontinence

Supervision during the waking day

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question 3

How physically robust are you?

Are all your limbs active and useable?

How well can you move from place to place

How reliant are you on a mobility aid

How is your overall sensory perception (Sight etc)

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question 4

How is your memory

Do you get confused sometimes

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question 5

What level of assistance do you need with medication

What level of assistance do you need from your GP or community nurse

How reliant are you on hospital care and visits

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