Silent Living
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Step 1 of 9
About the person
About the person you're looking out for
A few quick details about your loved one — only what we need to set things up correctly.
Full name
Date of birth
Title (optional)
Gender (optional)
Address line 1
Address line 2 (optional)
Town / City
Postcode
Do they live alone?
Yes
No
Mobility
Fully mobile
Walking aid
Wheelchair
Diagnosis of dementia or significant memory loss?
Yes
No
Prefer not to say
Do they have any pets?
Yes
No
Do they carry a smartphone with them regularly?
Yes
No
Sometimes
Anything else we should know? (optional)
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