Cost Calculator - STAGING - Master General Template

Introduction
intro
Step 1
Level of care needed
Step 2
Your expenses
Step 3
Get the comparison
Identify the level of care that is right for you.
Below are just a few questions to help determine the level of senior care that you may need.
Are you inquiring for yourself or a loved one?*
- Loved One
- Myself
- Myself & Spouse
Can you or your loved live independently without the need of supporting living assistance?*
- Yes
- No
Do you or your loved one need assistance with one or more of these activities: dressing, bathing, medication? *
- Yes
- No
Do you or your loved one have some issues with memory loss? *
- Yes
- No

Introduction
intro
Step 1
Level of care needed
Step 2
Your expenses
Step 3
Get the comparison
Current and Anticipated Costs of Living at Home
Complete the information below to the best of your knowledge. If you are unsure about an amount, please enter your best estimate.
Mortgage or Rent Payment (Monthly)*
Food, Groceries, & Toiletries*
Home or Renter's Insurance (Monthly)*
Property Tax (Monthly)*
Monthly Utility Costs - This includes heating, water, electricity, etc.*
Entertainment, Hobbies, & Activities - This includes social, cultural, & educational events, etc. (Monthly)*
Lawn Care, Snow Removal & Cleaning (Monthly)*
Maintenance & Repairs (Monthly)*
Transportation – This includes insurance, gas, registration, repairs, taxi, car service, etc. (Monthly)*
Current or Anticipated In-Home Senior Care Costs - The average monthly cost is $3,360 - $5,760*
Total Monthly Expenses*

Introduction
intro
Step 1
Level of care needed
Step 2
Your expenses
Step 3
Get the comparison
Complete the contact information below to receive your cost of senior living comparison.
First Name Last Name
Phone*
Email*
Would you like to receive news & event updates?
- Yes
- No
Comments
This field is for validation purposes and should be left unchanged.

Identify the level of care that is right for you.