{"id":7442,"date":"2024-11-19T22:00:59","date_gmt":"2024-11-19T22:00:59","guid":{"rendered":"https:\/\/atlasseniorliving.com\/the-goldton-at-adelaide\/?page_id=7442"},"modified":"2025-09-25T01:11:52","modified_gmt":"2025-09-25T01:11:52","slug":"how-safe-is-your-loved-one-living-alone","status":"publish","type":"page","link":"https:\/\/atlasseniorliving.com\/the-goldton-at-adelaide\/how-safe-is-your-loved-one-living-alone\/","title":{"rendered":"How Safe Is Your Loved One Living Alone?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7442\" class=\"elementor elementor-7442\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e50bc46 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e50bc46\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e3a030f\" data-id=\"e3a030f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-563d30a elementor-widget elementor-widget-heading\" data-id=\"563d30a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">How Safe Is Your Loved One Living Alone?<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fe49f9e elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fe49f9e\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fef568b\" data-id=\"fef568b\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-00a0ab0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"00a0ab0\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-bcde8b4\" data-id=\"bcde8b4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e500edc elementor-widget elementor-widget-image\" data-id=\"e500edc\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"960\" height=\"440\" src=\"https:\/\/atlasseniorliving.com\/the-goldton-at-adelaide\/wp-content\/uploads\/sites\/44\/2024\/11\/how-safe-is-your-loved-one-living-alone.jpg\" class=\"attachment-large size-large wp-image-7451\" alt=\"How Safe Is Your Loved One Living Alone\" srcset=\"https:\/\/atlasseniorliving.com\/the-goldton-at-adelaide\/wp-content\/uploads\/sites\/44\/2024\/11\/how-safe-is-your-loved-one-living-alone.jpg 960w, https:\/\/atlasseniorliving.com\/the-goldton-at-adelaide\/wp-content\/uploads\/sites\/44\/2024\/11\/how-safe-is-your-loved-one-living-alone-300x138.jpg 300w, https:\/\/atlasseniorliving.com\/the-goldton-at-adelaide\/wp-content\/uploads\/sites\/44\/2024\/11\/how-safe-is-your-loved-one-living-alone-768x352.jpg 768w\" sizes=\"(max-width: 960px) 100vw, 960px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6761917 elementor-widget elementor-widget-text-editor\" data-id=\"6761917\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>This quiz is designed to help families assess the risks their loved ones may face living alone. Answer each question honestly, and at the end, you\u2019ll receive a score indicating how urgent it may be to explore senior living options or other support systems.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-6ffe1c4 uael-wpf-input-size-lg uael-wpf-check-yes uael-wpf-button-center uael-wpf-btn-size-lg uael-wpf-style-box uael-wpf-highlight-style-default elementor-widget elementor-widget-uael-wpf-styler\" data-id=\"6ffe1c4\" data-element_type=\"widget\" data-settings=\"{&quot;wpf_input_padding&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;10&quot;,&quot;right&quot;:&quot;10&quot;,&quot;bottom&quot;:&quot;10&quot;,&quot;left&quot;:&quot;10&quot;,&quot;isLinked&quot;:true},&quot;wpf_button_align&quot;:&quot;center&quot;,&quot;wpf_button_padding&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;10&quot;,&quot;right&quot;:&quot;40&quot;,&quot;bottom&quot;:&quot;10&quot;,&quot;left&quot;:&quot;40&quot;,&quot;isLinked&quot;:false},&quot;btn_border_radius&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;0&quot;,&quot;right&quot;:&quot;0&quot;,&quot;bottom&quot;:&quot;0&quot;,&quot;left&quot;:&quot;0&quot;,&quot;isLinked&quot;:true},&quot;form_fields_margin&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:0,&quot;sizes&quot;:[]},&quot;form_label_margin_bottom&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:5,&quot;sizes&quot;:[]},&quot;form_desc_margin_top&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:5,&quot;sizes&quot;:[]},&quot;submit_spacing&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:0,&quot;sizes&quot;:[]},&quot;wpf_input_padding_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;wpf_input_padding_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;wpf_input_radius&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;0&quot;,&quot;right&quot;:&quot;0&quot;,&quot;bottom&quot;:&quot;0&quot;,&quot;left&quot;:&quot;0&quot;,&quot;isLinked&quot;:true},&quot;wpf_input_radius_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;wpf_input_radius_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;wpf_button_padding_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;wpf_button_padding_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;btn_border_radius_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;btn_border_radius_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;form_fields_margin_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;form_fields_margin_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;form_label_margin_bottom_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;form_label_margin_bottom_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;form_desc_margin_top_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;form_desc_margin_top_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;check_radio_items_spacing&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;check_radio_items_spacing_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;check_radio_items_spacing_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;submit_spacing_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;submit_spacing_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"uael-wpf-styler.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class = \"uael-wpf-container\">\n\t\t\t\t\t\t<div class = \"uael-wpf uael-wpf-style elementor-clickable\">\n\t\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-7424\"><form id=\"wpforms-form-7424\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"7424\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/the-goldton-at-adelaide\/wp-json\/wp\/v2\/pages\/7442\" data-token=\"3592c6b23ac4f6407cce57ce347727de\" data-token-time=\"1775288597\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#72b239\" data-scroll=\"1\"><span class=\"wpforms-page-indicator-page-title\" ><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> - <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 2<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:50%;background-color:#72b239\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-7424-field_33-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"33\"><\/div><div id=\"wpforms-7424-field_38-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"38\"><div id=\"wpforms-7424-field_38\"><h2 style=\"font-size:20px\"><center>Please Enter your Data to Start our Quiz<\/center><\/h2><\/div><\/div><div id=\"wpforms-7424-field_26-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-7424-field_26\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7424-field_26\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][26]\" required><\/div><div id=\"wpforms-7424-field_27-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-7424-field_27\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-7424-field_27\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][27]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-7424-field_39-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-7424-field_39\">Phone<\/label><input type=\"tel\" id=\"wpforms-7424-field_39\" class=\"wpforms-field-large wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][39]\" aria-label=\"Phone\" ><\/div><div id=\"wpforms-7424-field_32-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"32\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"1\" data-formid=\"7424\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2 last \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-7424-field_42-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"42\"><div id=\"wpforms-7424-field_42\"><h3>1. Mobility and Falls<\/h3><\/div><\/div><div id=\"wpforms-7424-field_15-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-list-inline\" data-field-id=\"15\"><label class=\"wpforms-field-label\">How often does your loved one experience difficulty walking or maintaining balance? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7424-field_15\" class=\"wpforms-field-required\"><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-7424-field_15_3\" class=\"wpforms-payment-price\" data-amount=\"4.00\" name=\"wpforms[fields][15]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_15_3\">Frequently<\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-7424-field_15_2\" class=\"wpforms-payment-price\" data-amount=\"3.00\" name=\"wpforms[fields][15]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_15_2\">Occasionally<\/label><\/li><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-7424-field_15_1\" class=\"wpforms-payment-price\" data-amount=\"2.00\" name=\"wpforms[fields][15]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_15_1\">Rarely<\/label><\/li><li class=\"choice-4\"><input type=\"radio\" id=\"wpforms-7424-field_15_4\" class=\"wpforms-payment-price\" data-amount=\"0.00\" name=\"wpforms[fields][15]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_15_4\">Never<\/label><\/li><\/ul><\/div><div id=\"wpforms-7424-field_17-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-list-inline\" data-field-id=\"17\"><label class=\"wpforms-field-label\">Has your loved one fallen or had a close call in the past 6 months? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7424-field_17\" class=\"wpforms-field-required\"><li class=\"choice-4\"><input type=\"radio\" id=\"wpforms-7424-field_17_4\" class=\"wpforms-payment-price\" data-amount=\"4.00\" name=\"wpforms[fields][17]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_17_4\">Yes, more than once<\/label><\/li><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-7424-field_17_3\" class=\"wpforms-payment-price\" data-amount=\"3.00\" name=\"wpforms[fields][17]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_17_3\">Yes, once<\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-7424-field_17_2\" class=\"wpforms-payment-price\" data-amount=\"2.00\" name=\"wpforms[fields][17]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_17_2\">No, but they seem unsteady<\/label><\/li><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-7424-field_17_1\" class=\"wpforms-payment-price\" data-amount=\"0.00\" name=\"wpforms[fields][17]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_17_1\">No, and they move confidently<\/label><\/li><\/ul><\/div><div id=\"wpforms-7424-field_43-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"43\"><div id=\"wpforms-7424-field_43\"><h3>2. Daily Routines and Hygiene<\/h3><\/div><\/div>\t\t<div id=\"wpforms-7424-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-7424-field_1\" >grooming, socially noticeable<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-7424-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-7424-field_19-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-list-inline\" data-field-id=\"19\"><label class=\"wpforms-field-label\">Are there noticeable signs of difficulty with personal hygiene (e.g., bathing, grooming, dressing)? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7424-field_19\" class=\"wpforms-field-required\"><li class=\"choice-4\"><input type=\"radio\" id=\"wpforms-7424-field_19_4\" class=\"wpforms-payment-price\" data-amount=\"4.00\" name=\"wpforms[fields][19]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_19_4\">Yes, consistently<\/label><\/li><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-7424-field_19_3\" class=\"wpforms-payment-price\" data-amount=\"3.00\" name=\"wpforms[fields][19]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_19_3\">Occasionally forgets or neglects<\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-7424-field_19_2\" class=\"wpforms-payment-price\" data-amount=\"2.00\" name=\"wpforms[fields][19]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_19_2\">Only needs reminders<\/label><\/li><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-7424-field_19_1\" class=\"wpforms-payment-price\" data-amount=\"1.00\" name=\"wpforms[fields][19]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_19_1\">No issues<\/label><\/li><\/ul><\/div><div id=\"wpforms-7424-field_16-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-list-inline\" data-field-id=\"16\"><label class=\"wpforms-field-label\">How well does your loved one manage household chores like cleaning and laundry? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7424-field_16\" class=\"wpforms-field-required\"><li class=\"choice-4\"><input type=\"radio\" id=\"wpforms-7424-field_16_4\" class=\"wpforms-payment-price\" data-amount=\"4.00\" name=\"wpforms[fields][16]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_16_4\">Tasks are often incomplete or ignored<\/label><\/li><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-7424-field_16_3\" class=\"wpforms-payment-price\" data-amount=\"3.00\" name=\"wpforms[fields][16]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_16_3\">Struggles with certain tasks<\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-7424-field_16_2\" class=\"wpforms-payment-price\" data-amount=\"2.00\" name=\"wpforms[fields][16]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_16_2\">Needs occasional help<\/label><\/li><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-7424-field_16_1\" class=\"wpforms-payment-price\" data-amount=\"0.00\" name=\"wpforms[fields][16]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_16_1\">Completely independent<\/label><\/li><\/ul><\/div><div id=\"wpforms-7424-field_44-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"44\"><div id=\"wpforms-7424-field_44\"><h3>3. Nutrition and Meal Preparation<\/h3><\/div><\/div><div id=\"wpforms-7424-field_20-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-list-inline\" data-field-id=\"20\"><label class=\"wpforms-field-label\">How would you rate their ability to prepare balanced meals? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7424-field_20\" class=\"wpforms-field-required\"><li class=\"choice-4\"><input type=\"radio\" id=\"wpforms-7424-field_20_4\" class=\"wpforms-payment-price\" data-amount=\"4.00\" name=\"wpforms[fields][20]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_20_4\">Cannot cook and relies on others<\/label><\/li><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-7424-field_20_3\" class=\"wpforms-payment-price\" data-amount=\"3.00\" name=\"wpforms[fields][20]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_20_3\">Struggles with cooking or skips meals<\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-7424-field_20_2\" class=\"wpforms-payment-price\" data-amount=\"2.00\" name=\"wpforms[fields][20]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_20_2\">Prepares simple meals independently<\/label><\/li><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-7424-field_20_1\" class=\"wpforms-payment-price\" data-amount=\"0.00\" name=\"wpforms[fields][20]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_20_1\">Cooks regularly without issues<\/label><\/li><\/ul><\/div><div id=\"wpforms-7424-field_21-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-list-inline\" data-field-id=\"21\"><label class=\"wpforms-field-label\">Is their refrigerator stocked with fresh and healthy food? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7424-field_21\" class=\"wpforms-field-required\"><li class=\"choice-4\"><input type=\"radio\" id=\"wpforms-7424-field_21_4\" class=\"wpforms-payment-price\" data-amount=\"4.00\" name=\"wpforms[fields][21]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_21_4\">Mostly empty or full of expired items<\/label><\/li><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-7424-field_21_3\" class=\"wpforms-payment-price\" data-amount=\"3.00\" name=\"wpforms[fields][21]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_21_3\">Some fresh food but inconsistent<\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-7424-field_21_2\" class=\"wpforms-payment-price\" data-amount=\"2.00\" name=\"wpforms[fields][21]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_21_2\">Mostly stocked with fresh food<\/label><\/li><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-7424-field_21_1\" class=\"wpforms-payment-price\" data-amount=\"1.00\" name=\"wpforms[fields][21]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_21_1\">Fully stocked and organized<\/label><\/li><\/ul><\/div><div id=\"wpforms-7424-field_45-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"45\"><div id=\"wpforms-7424-field_45\"><h3>4. Cognitive and Memory Function<\/h3><\/div><\/div><div id=\"wpforms-7424-field_47-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-list-inline\" data-field-id=\"47\"><label class=\"wpforms-field-label\">Does your loved one forget to take medication or struggle to follow a schedule? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7424-field_47\" class=\"wpforms-field-required\"><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-7424-field_47_3\" class=\"wpforms-payment-price\" data-amount=\"4.00\" name=\"wpforms[fields][47]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_47_3\">Frequently<\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-7424-field_47_2\" class=\"wpforms-payment-price\" data-amount=\"3.00\" name=\"wpforms[fields][47]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_47_2\">Occasionally<\/label><\/li><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-7424-field_47_1\" class=\"wpforms-payment-price\" data-amount=\"2.00\" name=\"wpforms[fields][47]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_47_1\">Rarely<\/label><\/li><li class=\"choice-4\"><input type=\"radio\" id=\"wpforms-7424-field_47_4\" class=\"wpforms-payment-price\" data-amount=\"0.00\" name=\"wpforms[fields][47]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_47_4\">Never<\/label><\/li><\/ul><\/div><div id=\"wpforms-7424-field_46-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-list-inline\" data-field-id=\"46\"><label class=\"wpforms-field-label\">Have you noticed signs of confusion, disorientation, or memory lapses? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7424-field_46\" class=\"wpforms-field-required\"><li class=\"choice-4\"><input type=\"radio\" id=\"wpforms-7424-field_46_4\" class=\"wpforms-payment-price\" data-amount=\"4.00\" name=\"wpforms[fields][46]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_46_4\">Often forgets recent events or familiar tasks<\/label><\/li><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-7424-field_46_3\" class=\"wpforms-payment-price\" data-amount=\"3.00\" name=\"wpforms[fields][46]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_46_3\">Occasionally forgets but recovers quickly<\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-7424-field_46_2\" class=\"wpforms-payment-price\" data-amount=\"2.00\" name=\"wpforms[fields][46]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_46_2\">Rare lapses with no major impact<\/label><\/li><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-7424-field_46_1\" class=\"wpforms-payment-price\" data-amount=\"0.00\" name=\"wpforms[fields][46]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_46_1\">No memory issues<\/label><\/li><\/ul><\/div><div id=\"wpforms-7424-field_48-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"48\"><div id=\"wpforms-7424-field_48\"><h3>5. Social Interaction and Emotional Health<\/h3><\/div><\/div><div id=\"wpforms-7424-field_50-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-list-inline\" data-field-id=\"50\"><label class=\"wpforms-field-label\">How often does your loved one interact socially (friends, family, community)? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7424-field_50\" class=\"wpforms-field-required\"><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-7424-field_50_3\" class=\"wpforms-payment-price\" data-amount=\"4.00\" name=\"wpforms[fields][50]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_50_3\">Rarely or not at all<\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-7424-field_50_2\" class=\"wpforms-payment-price\" data-amount=\"3.00\" name=\"wpforms[fields][50]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_50_2\">Occasionally, but seems lonely<\/label><\/li><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-7424-field_50_1\" class=\"wpforms-payment-price\" data-amount=\"2.00\" name=\"wpforms[fields][50]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_50_1\">Regularly but prefers solitude<\/label><\/li><li class=\"choice-4\"><input type=\"radio\" id=\"wpforms-7424-field_50_4\" class=\"wpforms-payment-price\" data-amount=\"0.00\" name=\"wpforms[fields][50]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_50_4\">Regularly and with enthusiasm<\/label><\/li><\/ul><\/div><div id=\"wpforms-7424-field_51-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-list-inline\" data-field-id=\"51\"><label class=\"wpforms-field-label\">Have you noticed changes in their mood, such as irritability, sadness, or withdrawal? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7424-field_51\" class=\"wpforms-field-required\"><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-7424-field_51_3\" class=\"wpforms-payment-price\" data-amount=\"4.00\" name=\"wpforms[fields][51]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_51_3\">Significant changes frequently<\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-7424-field_51_2\" class=\"wpforms-payment-price\" data-amount=\"3.00\" name=\"wpforms[fields][51]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_51_2\">Occasional changes in mood<\/label><\/li><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-7424-field_51_1\" class=\"wpforms-payment-price\" data-amount=\"2.00\" name=\"wpforms[fields][51]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_51_1\">Minor shifts, but nothing concerning<\/label><\/li><li class=\"choice-4\"><input type=\"radio\" id=\"wpforms-7424-field_51_4\" class=\"wpforms-payment-price\" data-amount=\"0.00\" name=\"wpforms[fields][51]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_51_4\">No noticeable changes<\/label><\/li><\/ul><\/div><div id=\"wpforms-7424-field_52-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"52\"><div id=\"wpforms-7424-field_52\"><h3>6. Environmental Safety<\/h3><\/div><\/div><div id=\"wpforms-7424-field_53-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-list-inline\" data-field-id=\"53\"><label class=\"wpforms-field-label\">How safe is their home environment (e.g., lighting, stairs, clutter)? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7424-field_53\" class=\"wpforms-field-required\"><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-7424-field_53_3\" class=\"wpforms-payment-price\" data-amount=\"4.00\" name=\"wpforms[fields][53]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_53_3\">Many hazards present<\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-7424-field_53_2\" class=\"wpforms-payment-price\" data-amount=\"3.00\" name=\"wpforms[fields][53]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_53_2\">Some hazards but manageable<\/label><\/li><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-7424-field_53_1\" class=\"wpforms-payment-price\" data-amount=\"2.00\" name=\"wpforms[fields][53]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_53_1\">Mostly safe with minor improvements needed<\/label><\/li><li class=\"choice-4\"><input type=\"radio\" id=\"wpforms-7424-field_53_4\" class=\"wpforms-payment-price\" data-amount=\"0.00\" name=\"wpforms[fields][53]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_53_4\">Very safe and accessible<\/label><\/li><\/ul><\/div><div id=\"wpforms-7424-field_54-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-list-inline\" data-field-id=\"54\"><label class=\"wpforms-field-label\">Do they have a reliable way to call for help in an emergency? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7424-field_54\" class=\"wpforms-field-required\"><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-7424-field_54_3\" class=\"wpforms-payment-price\" data-amount=\"4.00\" name=\"wpforms[fields][54]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_54_3\">No access or struggles with technology<\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-7424-field_54_2\" class=\"wpforms-payment-price\" data-amount=\"3.00\" name=\"wpforms[fields][54]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_54_2\">Access but may not use it effectively<\/label><\/li><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-7424-field_54_1\" class=\"wpforms-payment-price\" data-amount=\"2.00\" name=\"wpforms[fields][54]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_54_1\">Can call but needs reminders<\/label><\/li><li class=\"choice-4\"><input type=\"radio\" id=\"wpforms-7424-field_54_4\" class=\"wpforms-payment-price\" data-amount=\"0.00\" name=\"wpforms[fields][54]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7424-field_54_4\">Fully reliable system in place<\/label><\/li><\/ul><\/div><div id=\"wpforms-7424-field_49-container\" class=\"wpforms-field wpforms-field-payment-total hide-field wpforms-field-medium\" data-field-id=\"49\"><label class=\"wpforms-field-label\">Total Points<\/label><div class=\"wpforms-payment-total\" style=\"\">&#036;0.00<\/div><input type=\"hidden\" id=\"wpforms-7424-field_49\" class=\"wpforms-field-medium wpforms-payment-total\" name=\"wpforms[fields][49]\" value=\"0\"><\/div><div id=\"wpforms-7424-field_55-container\" class=\"wpforms-field wpforms-field-hidden\" data-field-id=\"55\"><input type=\"hidden\" id=\"wpforms-7424-field_55\" name=\"wpforms[fields][55]\"><\/div><div id=\"wpforms-7424-field_56-container\" class=\"wpforms-field wpforms-field-hidden\" data-field-id=\"56\"><input type=\"hidden\" id=\"wpforms-7424-field_56\" name=\"wpforms[fields][56]\"><\/div><div id=\"wpforms-7424-field_57-container\" class=\"wpforms-field wpforms-field-captcha\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-7424-field_57\">Custom Captcha <span class=\"wpforms-required-label\">*<\/span><\/label>\t\t\t<div class=\"wpforms-captcha-math\">\n\t\t\t\t<span id=\"wpforms-7424-field_57-question\" class=\"wpforms-captcha-equation\">\n\t\t\t\t\t<span class=\"n1\">2<\/span>\n\t\t\t\t\t\t\t<span class=\"cal\">+<\/span>\n\t\t\t\t\t\t\t<span class=\"n2\">12<\/span>\t\t\t\t\t<span class=\"e\">=<\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"text\" id=\"wpforms-7424-field_57\" class=\"wpforms-field-medium wpforms-field-required a\" data-rule-wpf-captcha=\"math\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][57][a]\" aria-describedby=\"wpforms-7424-field_57-question\" required>\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][57][cal]\" class=\"cal\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][57][n2]\" class=\"n2\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][57][n1]\" class=\"n1\">\n\t\t\t<\/div>\n\t\t\t<\/div><div id=\"wpforms-7424-field_34-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"34\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><\/div><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-7424-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-7424-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-7424-field_1-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-invisible\" style=\"display:none;\"><div class=\"g-recaptcha\" data-sitekey=\"6LcIQ7IZAAAAAEaVjfei98NuEqEYOEXvDV9CnPl1\" data-size=\"invisible\"><\/div><\/div><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"7424\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/atlasseniorliving.com\/the-goldton-at-adelaide\/wp-json\/wp\/v2\/pages\/7442\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-7424\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" 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