Quiz: Hospice or Palliative Care

If four or more of the following apply, hospice may be the answer for you or your loved one.

Have you been informed by physician of limited life expectancy?

Yes No

Have you had several hospitalizations or visits to the emergency room over the last six months?

Yes No

Have you increase your medication for physical pain?

Yes No

Have you had several falls within the last six months?

Yes No

Have you made frequent phone calls to physicians’ office?

Yes No

Is the majority of day spent in bed or chair?

Yes No

Do you require assistance with two or more of the following: getting out of bed, bathing, dressing, walking, eating?

Yes No

Do you have a noticeable shortness of breath, even at rest?

Yes No

Do you feel more tired and weaker overall?

Yes No

Have you experienced dramatic weight loss, are your clothes noticeably looser?

Yes No

Please enter your contact information and someone from our team will reach out to you based on your results.

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