Comprehensive Home Safety Assessment

Based on Comprehensive Geriatric Assessment (CGA) principles

Complete

Your Privacy is Protected

All information you provide in this assessment is stored locally on your device and is never shared with third parties. Your responses are used solely to generate personalized recommendations for you. We do not collect, sell, or distribute your personal data.

What is your relationship to the person needing support? *

Where is the person living? *

Age range of the person needing support *

Current living situation of the person *

How strong is the person's support network? *

Consider family, friends, neighbors, and community connections

Is there a caregiver present regularly?

Complete all required fields (*) to view your personalized recommendations

Comprehensive Home Safety Assessment

Basic Information & Social Context

Physical Health & Functional Status

Cognitive Health

Psychological Well-being

Environmental Safety

Medication & Health Management

Emergency & Communication