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Elder Mediation Survey
I am responding to this survey as:
*
The Main Caregiver
The Senior over age 65
Other Family Member
Non-Relative
Other
Our family needs to have discussions regarding the following topics:
Living Arrangements as our parent(s) age.
Care arrangements as our parent(s) age.
Finances and how these apply to living and care arrangements.
Health Directives
Will and Estate Decisions
Other
I have concerns about a Seniors health with respect to:
Alzheimers
Diabetes
Respiratory Disease
Self Neglect
Other
I have concerns that a Senior may be experiencing:
Physical Abuse: slapping, kicking, shoving, burning
Sexual Abuse:Engaging in verbal or non-verbal behaviour of a sexual nature and/or physical sexual contact in which the senior does not have the ability to express or engage in own their own accord.
Psychological Abuse: Humiliation, isolation, intimidation
Financial Abuse: Misuse of seniors money,property or other possessions through fraud, forgery or extortion
The Senior person refuses to consider the following:
Giving up their Driver's Licence.
Look at options for living arrangements.
Wear a Medical Device.
Discuss their financial and health directives with their children.
Other
We are interested in learning more about Senior issues and Elder Mediation through the development of the following Products &/or Services:
Taking part of a family conference.
In person group seminar
Webinar: Education segment uploaded from your computer
Group Discussion: Using Telephone and computer
Other
I feel that the Main Caregiver is faced with the following challenges:
Other family members not providing physical support.
Other family members not providing financial support.
Other family members not providing emotional support
Looks physically and mentally exhausted
Possible signs of Depression
Other
Thank you for completing the Seniors Survey. Kindly fill out the following email form and you will receive "Top Ten Conflict Topics Experiences by Seniors and their Families" and automatically join my mailing list.
Email
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and Fraser Valley Areas
8844 Delwood Drive
Delta, BC V4C 4A2
Brenda Hooper CCR,CFM
604.589.9052
Toll Free: 1-866-973-7920
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