Getting to Know you

Are you seeking services for:

What type of support are you primarily seeking?

Select as many as you like:

Do you or the person needing care require assistance with daily tasks?

Are you looking for services provided in your own home?

Which of the following best describes the level of support needed at home?

Are you interested in assistance with any of the following? (Select all that apply)

Are you interested in improving your physical health and well-being?

Which of the following health services are you seeking? (Select all that apply)

Would you prefer to receive these services at a clinic or at home?

What type of Nursing support are you seeking?

Would you prefer to receive Nursing services:

What are your goals for participating in an exercise program? (Select all that apply)

Are you interested in:

Where would you prefer to participate in exercise programs?

Are you seeking support for any of the following?

What is the primary goal you're hoping to achieve with Specialised Care Support?

Which type of specialised care support are you interested in? (Select all that apply)

Do you currently have a Home Care Package or Support at Home Funding?

Have you had an assessment with My Aged Care?