Questionnaire

At Pure Grace Assisted Living, we are committed to providing personalized care and support to our residents. To ensure we meet your unique needs and preferences, we ask that you complete a brief questionnaire.

This questionnaire will help us understand:

– Your medical history and health needs
– Your daily living requirements (e.g., bathing, dressing, medication management)
– Your social and recreational interests
– Your dietary needs and preferences
– Your personal care and support needs

By completing this questionnaire, you will help us:

– Assess your eligibility for our assisted living program
– Develop a personalized care plan tailored to your needs
– Ensure your rights and preferences are respected

We appreciate your time and look forward to reviewing your questionnaire. If you have any questions or concerns, please don’t hesitate to ask.