Available in English.

Categories of questions asked:

• Activity
• Communication
• Connection
• Exercises
• Falls
• Mobility
• Mood/Stress

Examples of questions asked:

Hi there!

Is [Patient Name] able to spend time outdoors or in a different setting regularly? Reply YES or NO

Hi there!

Does [Patient Name] have trouble understanding or following conversations? Reply ALWAYS, OFTEN, SELDOM, of NEVER

Hi there!

Would you like more ideas/opportunities for [Patient Name] to engage with others? Reply YES or NO