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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 mother doesn't like me very much, It's just something that is what it is.
I have chronically disappointed her in my choices, actions and lifestyle, which baffle me, b/c I have remained true to the faith I was raised in, and love, I have 5 terrific kids who all are married to wonderful people and I have 14 beautiful grands.
She is not the least bit interested in my life, my kids or grands. I went through cancer and chemo for 10 months and she did not call nor even send a card to acknowledge what I was going through. The hurts pile up, if you let them.
She'll 'SAY' 'You know I love you', but I recently called her out on that and said, "No mother, I have never felt love from you. It's OK, I know I have disappointed you over the years. I'm sorry you choose to feel this way" and we kind of drop it.
I'll go to visit and she is so disappointed it's not one of the 'chosen ones'. I can't help that.
Recently my DH's mother told him she wished she'd gone through with an abortion, rather than have him. I don't care how old you are, that HURTS.
How do you know she doesn't like you? What does she do or not do that leads you to believe that she doesn't like you? How old are you and how old is your mom? I have to believe that the majority if not all moms not only love their children, but like them as well. Some just perhaps don't know how to show it, especially if they themselves grew up in a dysfunctional home, and weren't shown love. I have 2 grown children that I love very much, but there have been times over the years that they did things that made me not "like" them very much. Now that didn't mean that I stopped loving them. It just meant that they did things that I didn't like. So while you think your mom doesn't like you, you must know that she will always love you. Are you like my children over the years, and given her reason not to like you? Something to ponder.
You have provided very little information concerning ages and behaviors of you and your mother, and especially how you are gauging how she feels while saying “she pretends”.
I grew up in a relationship with my own mother that was often very difficult, probably for her as much as for me, because she suffered from a very severe anxiety disorder, and was periodically severely agoraphobic.
She was also continuously embarrassed about her condition, and I in turn was embarrassed by the fact that she was often unable to act as other girls’ moms acted, or so I thought.
She became slightly more functional after I married, and rallied to become a spectacular grandmother after I had the two children she openly told me NOT to have.
As I became an adult, I learned, with a great deal of self examination, that I needed to do for myself what I could not rely on her to do, or to BE, for me. I worked with some good therapists during that time, and I recommend seeking that kind of help.
If you wish to share more details about your current situation you will no doubt receive more input. Learn all you can about what makes you tick, who you are, and who you hope to be.
Don’t hesitate to question me about my situation if I can be of any specific help to you.
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.
I have chronically disappointed her in my choices, actions and lifestyle, which baffle me, b/c I have remained true to the faith I was raised in, and love, I have 5 terrific kids who all are married to wonderful people and I have 14 beautiful grands.
She is not the least bit interested in my life, my kids or grands. I went through cancer and chemo for 10 months and she did not call nor even send a card to acknowledge what I was going through. The hurts pile up, if you let them.
She'll 'SAY' 'You know I love you', but I recently called her out on that and said, "No mother, I have never felt love from you. It's OK, I know I have disappointed you over the years. I'm sorry you choose to feel this way" and we kind of drop it.
I'll go to visit and she is so disappointed it's not one of the 'chosen ones'. I can't help that.
Recently my DH's mother told him she wished she'd gone through with an abortion, rather than have him. I don't care how old you are, that HURTS.
I have 2 grown children that I love very much, but there have been times over the years that they did things that made me not "like" them very much. Now that didn't mean that I stopped loving them. It just meant that they did things that I didn't like. So while you think your mom doesn't like you, you must know that she will always love you. Are you like my children over the years, and given her reason not to like you? Something to ponder.
Is it that she truly doesn’t like you or that she disapproves of your choices in life?
I grew up in a relationship with my own mother that was often very difficult, probably for her as much as for me, because she suffered from a very severe anxiety disorder, and was periodically severely agoraphobic.
She was also continuously embarrassed about her condition, and I in turn was embarrassed by the fact that she was often unable to act as other girls’ moms acted, or so I thought.
She became slightly more functional after I married, and rallied to become a spectacular grandmother after I had the two children she openly told me NOT to have.
As I became an adult, I learned, with a great deal of self examination, that I needed to do for myself what I could not rely on her to do, or to BE, for me. I worked with some good therapists during that time, and I recommend seeking that kind of help.
If you wish to share more details about your current situation you will no doubt receive more input. Learn all you can about what makes you tick, who you are, and who you hope to be.
Don’t hesitate to question me about my situation if I can be of any specific help to you.