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Homefree Assessment

Personal Emergency Response Systems (PERS) provide families a low cost alternative to assisted living agencies or at home care. With a medical alert system, your aging loved ones can be more independent even if they are suffering with chronic medical conditions. It gives family and friends peace of mind knowing that trained dispatchers are standing by 24 hours a day, 7 days a week. A medical alert system lets them live where they are most comfortable...their homes.

This Assessment will assist you to determine if a Personal Emergency Response System (PERS) can help you or your loved ones live a more independent and full life.

  1. In the past 12 months, have you been to the emergency room or hospitalized?
  2. In the past 12 months, have you experienced a fall or have you been afraid of falling in your home?
  3. Are you alone (by yourself) for several hours of the day or night?
  4. Do you suffer from any chronic medical conditions (i.e. heart disease, stroke, COPD, osteoporosis, diabetes, arthritis)?
  5. Do you use devices to assist you in balancing or walking? (i.e walker, cane, wheelchair, stair climber or other)
  6. Do you take several daily medications?
  7. Do you have trouble, or need assistance, with any of these daily activities (bathing, dressing, meal preparation, toileting, etc...)?
  8. If you had a medical alert system, would it provide you or your loved ones peace of mind when you are alone?
  9. Do you think that living independently and in your own home is an important factor in your quality of life?
Review your total score with the assessment below
  • 6 - 9 Total Score

    Your high score shows a significant risk for falls and other medical situations that may lead to serious safety concerns.

    A medical alert system is strongly advised.

  • 3 - 5 Total Score

    Your medium score indicates that there is a risk for a fall and or other medical situations.

    A medical alert system would be helpful.

  • 1 - 2 Total Score

    Your low score indicates that a medical alert system may increase, improve and or maintain an independent lifestyle. What would happen if you fell tonight? How would you get up? If you could not get up, how would you get help?

    A medical alert system is recommended to maintain independence.