The following checklist may help you to judge which assisted living facility best meets your needs. First, use the list to find out the areas that you or your loved one need help with. Then, when contacting a facility, use the checklist to find out if the facility provides the services you need and what the additional costs would be for each service.
| Activities of Daily Living (ADL's) | Reminding or Supervision Needed | Assistance Needed | Facility Provides | Cost |
|---|---|---|---|---|
| 1. Eating | ||||
| 2. Dressing | ||||
| 3. Hair Care | ||||
| 4. Nail Care | ||||
| 5. Oral Care | ||||
| 6. Shaving | ||||
| 7. Bathing | ||||
| 8. Toileting | ||||
| 9. Walking | ||||
| 10. Transportation | ||||
| 11. Arranging medical appointments | ||||
| 12. Taking Medication | ||||
| 13. Housekeeping | ||||
| 14. Special Individual Needs |
Notes: