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Comfort Keepers Tacoma, WA

539 Broadway #304
Tacoma, Washington 98402
(360) 742-3773

Comfort Keepers of Tacoma, WA: At Home Care Company Survey

Name: Comfort Keepers of Tacoma, Washington
Address: 539 Broadway #304, Tacoma, Washington, 98402
Telephone: (360) 742-3773

Take our at home care survey to determine whether or not our care agency is the right choice for your loved one living in Tacoma, Lakewood, or the surrounding area

Call Us Today

It may be time to consider hiring an at home care agency to assist your loved one! To determine if it is time to look into care choices for your loved one, please take our brief survey.

It only takes 1-3 minutes to fill out our form!
Please hit 'submit' after answering all 6 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Do the refrigerator or cupboards contain outdated food; or lack nutritious food?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?