One on One Consultation
This one-on-one consulting approach is designed to address your specific caregiving needs and help you achieve both short-term and long-term goals. I am not a medical professional, therapist, or financial expert; my expertise is in managing caregiving for my loved one with dementia (PWD) from afar and maintaining regular communication.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Which country do you reside in? (This will help me recommend the right technology/resources)
*
Which country does your loved one reside in? (This will help me recommend the right technology/resources)
*
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This part of the form is for the person you're caring for.
This part of the form is for understanding the kind of help you need before our consultation
Which best describes the person that you are taking care of:
*
Dementia and/or Alzheimers
Hearing impairment
Visual impairment
Physical Disability
None of the above
Please elaborate on Physical Disability (this will help determine which devices/gadgets may assist, e.g. voice activated device as opposed to manual)
Which option best defines the individual in need of assistance? (check all that apply)
*
Independent
Lives in own home
Lives with a partner or family
Assisted Living
Has support from family/friends/neighbours
Daily support (carers)
Live in carer
Check all that apply.
*
Have Wifi
Don't have Wifi and do not want (note: this will limit suggestions)
Please click all that apply
*
I use a mobile phone
I have a home phone but can't use anymore
I can use a home phone
I would like both a home phone and mobile
If you install any technology, will you have someone that can help you if you need it to be reset?
*
Yes
No
If yes, does this person feel comfortable with technology?
*
Please Select
Yes
No
I don't know
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This part of the form is about you. We're nearly done.
Do you hold a Lasting Power of Attorney (LPA) for your loved one? (If you'll be responsible for making decisions on their behalf)
*
Yes
No
Do you have the authority to install these devices in the home of the person you're caring for?
*
Yes
No
I don't know
Do you need step-by-step instructions for setting up technology (like cameras, etc.), or are you comfortable doing it yourself?
Yes
No
Maybe
What is your primary concern regarding the well-being and care of the person you are looking after? (example: check on carers, medication reminders, appoint reminders, preparing food). Please be as detailed as possible.
If there is anything else you would like to add, please do so here.
Once we’ve established that I can have a one-on-one consultation with you, I will send you an invoice for payment before we meet for our appointment. Select an appointment here.
Note:
These consultations do not provide medical or health advice. All information shared is for general informational purposes only. My recommendations are based on my extensive experience caring for a parent with dementia from afar. Any purchases made for cameras or any other equipment following a consultation are solely at your discretion and risk. Dementia is a progressive condition that changes daily. Therefore, what works during a consultation may require adjustment within 2-3 weeks to suit evolving needs. By agreeing to the terms, you acknowledge and accept the above terms.
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