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Comfort Keepers Los Angeles, CA

5478 Wilshire Blvd # 218
Los Angeles, California 90036
(323) 430-9803

Take Our Professional Home Care Survey from Comfort Keepers of Los Angeles, CA

Name: Comfort Keepers Home Care
Address: 5478 Wilshire Blvd # 218, Los Angeles, California, 90036
Telephone: (323) 430-9803

Our professional home care survey will help you determine if your loved one will benefit from the home care services that we provide in Los Angeles, Culver City, Baldwin Park, and the surrounding area

It may be time to consider in-home care for your loved one! Start by taking our short professional home care to help you better understand whether the time may have come to pursue care options for your loved one.

It only takes 1-3 minutes to fill out our form!
Please hit 'submit' after answering all six questions.

About Your Loved One

Choose the following statements that apply to your loved one:

Does your loved one wear dirty clothing or the same outfit day after day?

Is it apparent your loved one is not showering or bathing?

Is your loved one losing weight?

Are there signs of confusion such as not knowing the date, where he/she is, or the season of the year?

Do the refrigerator or cupboards contain outdated food; or lack nutritious food?

Is the home cluttered or have mail, newspapers, bills accumulated?

Are you finding expired medications or medications that are not being taken?

ZIP Code where care is needed

About Yourself

Your first name

Your last name

Your email address

Your telephone number

Is this a cell phone number?

Anything else you would like to tell us?