Are you sure you want to exit? Your progress will be lost.
Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
My therapist used to have me go through 'what does' scenarios. "what does a loved and cherished daughter feel like? Can I achieve that when I am NOT that?
What does a childhood without abuse feel like? Can I overcome the past traumas or are they 'who I am?. I'm not doing a good job at explaining what she said to me. She has me create in my mind a 'healthy' version of myself. I don't naturally have one!
It's a slow and often painful process. Like healing from a deep physical wound. You heal, there may or may not be a deep scar, or there may be no signs. The challenge is to get to a place where the scars are not what defines you.
And NEVER giving up.
I have only just realized I do not have to take insults, meanness, disrespect or actual hatred from anyone. I can walk away. Sometimes that is what you have to do. Even with family, who should be our BFF's---but they can hurt us more than anyone else.
Some of us go on to lead successful lives. Others are destroyed. I guess it depends on - how bad - the abuse was. And there’s an element of luck. And determination, to overcome and heal from the abuse.
Many years ago, I made a promise to myself. I haven’t fulfilled the promise yet. Never had a chance to do it. I’ll do it now. And I’ll re-post when I’ve fulfilled it.
One way I’m trying to heal is by looking at the effects of verbal abuse, and seeing: (1) Do I have that problem? (2) What am I going to do about it?
Potential effects of abuse on the victim: —low self-esteem —depression —anxiety —physical symptoms —stress eating —time wasted —lost opportunities because your energy and time are spent on healing —you start believing the abuser’s lies —you start losing yourself. You miss your former self. You miss YOU.
Codependents Anonymous helps me. Sometimes there's a history of toxic behavior that gets worse with age or infirmity. It may have been there for a long time and you are now recognizing it.
I didn't realize how bad things were, because I thought all families were like ours. Now I'm learning how to recognize healthy people and set boundaries with toxic ones. It helps to be around people who have been through similar situations and can tell you that you are Not crazy and Not unreasonable. A lot of us are caregivers, too.
CoDA has meetings in person and online. If people hang around after the meeting, stick around. I get just as much benefit after the meeting as I do during the meeting. It's like a 2 for 1 bonus.
I didn't have one, but often counseling is needed if this represents a lifetime of abuse. We can carry that forward and we can suffer all our lives if it isn't addressed with professionals who are good at what they do. We get trained to expect abuse, and we create the same situations for ourselves long after the loved one is gone because we cannot forgive their human limitations and move on, building a good life for ourselves. I wish you good healing and a happy life. For me this is my one chance at it, and I won't give up a happy productive life. Please consider getting help.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
What does a childhood without abuse feel like? Can I overcome the past traumas or are they 'who I am?. I'm not doing a good job at explaining what she said to me. She has me create in my mind a 'healthy' version of myself. I don't naturally have one!
It's a slow and often painful process. Like healing from a deep physical wound. You heal, there may or may not be a deep scar, or there may be no signs. The challenge is to get to a place where the scars are not what defines you.
And NEVER giving up.
I have only just realized I do not have to take insults, meanness, disrespect or actual hatred from anyone. I can walk away. Sometimes that is what you have to do. Even with family, who should be our BFF's---but they can hurt us more than anyone else.
Some of us go on to lead successful lives. Others are destroyed. I guess it depends on - how bad - the abuse was. And there’s an element of luck. And determination, to overcome and heal from the abuse.
Many years ago, I made a promise to myself. I haven’t fulfilled the promise yet. Never had a chance to do it. I’ll do it now. And I’ll re-post when I’ve fulfilled it.
(1) Do I have that problem?
(2) What am I going to do about it?
Potential effects of abuse on the victim:
—low self-esteem
—depression
—anxiety
—physical symptoms
—stress eating
—time wasted
—lost opportunities because your energy and time are spent on healing
—you start believing the abuser’s lies
—you start losing yourself. You miss your former self. You miss YOU.
I didn't realize how bad things were, because I thought all families were like ours. Now I'm learning how to recognize healthy people and set boundaries with toxic ones. It helps to be around people who have been through similar situations and can tell you that you are Not crazy and Not unreasonable. A lot of us are caregivers, too.
CoDA has meetings in person and online. If people hang around after the meeting, stick around. I get just as much benefit after the meeting as I do during the meeting. It's like a 2 for 1 bonus.