Contact We will contact you no later than the next working day Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *Phone number *EmailPerson's age, genderWhere does the person currently live (area, apartment/house), or does he/she lives alone?Why did you decide to live in Perpetuus care home?Does the person prefer to live alone or with other people?AloneWith other peopleIs the person able to navigate and orient themselves effectively in their environment?YesYesSometimesVariesNoIndependently able to take a shower, brush teeth, etc.YesYesSometimesVariesNoAble to dress and undress independently?YesYesSometimesVariesNoAble to eat prepared meals independently?YesYesSometimesVariesNoDoes the person use the toilet independently? How often uses diapers?Does the person move independently indoors (with or without assistive devices)?YesYesSometimesVariesNoCan independently change one of the three body positions to another, regardless of the direction (standing, sitting and lying down)?YesYesSometimesVariesNoHas the person been diagnosed with dementia? (Alzheimer's disease, vascular dementia, etc.)?YesYesNoHas the person been diagnosed with other chronic diseases (Diabetes, kidney failure, etc.)?YesYesNoDoes the person have Special Needs (Care or Care)?YesYesNoAdditional commentsSubmit Let's talk A. Daugėlos g. 1A-1, Klausučių k., LT-74408 Jurbarkas r. info@perpetuus.lt +370 676 11130
