Self Assessment

Aging In The Comfort Of Home® has provided this simple checklist to help determine if your home can accommodate an elderly or disabled loved one. Use this report to determine potential problem areas and decide if additional services are necessary. While we have done our best to provide a comprehensive list of potential issues, we cannot guarantee its exhaustiveness. To obtain the most accurate, detailed report possible, contact Aging In The Comfort Of Home® to schedule a detailed, professional evaluation. The recommendations in this list are given as general guidance, and should not be considered a replacement for the advice of a medical professional.

Home Interior

__Front-loading washer and dryer

__Rocker switches or automated lighting

__Lever handles on doors, not knobs

__No shaggy, high pile carpet or rugs

__Walkways clear of clutter and cords

__Outlets accessible and easy to reach

__Smoke detectors with strobe lights throughout home

__Easy to use or automated thermostat

__Bathroom available on each floor

__Outlets accessible and easy to reach

__No shaggy, high pile carpet or rugs

__All steps/obstacles well lit in contrasting colors

__Handrails extend past stair landings (if applicable)

__Chair Lift/Elevator available (if required)

__WiFi set up and available for visitors

__Emergency communication device (panic button)

Bedroom

__All items can be reached from a standing position

__Rocker switches or automated lighting

__No shaggy, high pile carpet or rugs

__Floor clear of clutter and cords

__Outlets accessible and easy to reach

Kitchen

__Round counter edges

__Edge of counters a different color than the top

__Low-noise appliances (i.e. dishwasher, microwave)

__Shelves are shallow enough to reach the back, or use pull-out

shelves/lazy susan

__Side-by-side refrigerator for easy access

__Appliances/outlets accessible and easy to reach

__Lever controls on all faucets

__Spray hose for easier washing

__Clear, understandable controls on front of appliances

__Stove with clear display that indicates hot areas

__Side open oven doors

__Non-slip floor surface

Bathroom

__Seat in tub/shower

__Walk-in tub/shower (low rise)

__Grab bars for bath and toilet

__Counter edges rounded to prevent injury

__Easy, D-shapes cabinet/drawer handles

__Elevated toilet seat or lift

__Lever controls on all faucets

__Slip-resistant floors

__Well-lit closets and cabinets

Garage

__Automatic garage door opener

__Well-lit, visible steps and floor transitions

__Non-slip flooring or mats in hazardous areas

__Ramp to front door with handrails

Home Exterior

__Automated lighting system with timer

__Well-lit, visible stairs, transitions, and pathways

__Security system with front door camera

__Lever handles on doors, not knobs

__Ramp to front door threshold with handrails

__Walkways free of clutter and cords

__No mats/rugs (tripping hazard)

Wheelchair Users

__Knee space under sink/cooktop

__Wide transfer space for bath and toilet

__Doors wide enough for chair

__Sufficient space to turn around in all rooms/closets

__All steps replaced with ramps

__All ramps angled and secured properly with handrails

__Switches/outlets accessible from seated position

__Counter heights adjusted for seated use

__Grab bars for transitions in/out of chair

Assistance & Services

Do you or your loved one need help with…

__Meals

__Transportation

__Security & Monitoring

__Pet Care

__Cleaning/Chores

__Paperwork

__Accounting & Financial Planning

__Internet & Technology Support

__Companionship

Self Assessment

Home Interior

Bedroom

Kitchen

Bathroom

Garage

Home Exterior

Wheelchair Users

Assistance & Services

Printable Version

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