The Home Safe Index

Aging Parent & Loved One Safety
Intake Profile
Aging Parent & Loved One Profile

Tell us about your parent or loved one

Answer a few quick questions about how they move around, their nighttime habits, and their living situation. Every walkthrough question that follows is calibrated to their specific daily routines.

01How does your parent or loved one get around indoors?

Select their primary mobility style in the home. Answers should reflect current status (even if temporary, such as recovering from a hospital stay or newly using a cane or walker) so recommendations fit their immediate needs:

02Have they had any falls in the past 12 months?

Includes minor slips, trips, or loss of balance where they ended up on the floor:

03Did the recent fall happen in a specific part of the home?

We'll prioritize walkthrough questions and recommendations for this area first:

04Vision challenges

Low vision, cataracts, glaucoma, or reduced depth perception?

05Cognition or memory concerns

Memory changes, disorientation at night, or pacing?

06Night bathroom trips

How often do they get up to use the bathroom each night?

07Hours spent alone at home

Typical daily time without a family member or caregiver present:

08Winter weather & climate at their home

Does the home get freezing weather, frost, or ice in winter?

09Housing status

Ensures recommendations prioritize non-damaging or tenant-approved installations if they rent: