How to Know If It’s Time for Hospice Care by Hospice Care Golden Gate | Feb 15, 2024 Instructions: Answer each question honestly. At the end of the test, tally your score to see the recommendation. Regardless of your score, remember to contact us at Golden Gate Hospice in Los Angeles for a free assessment and guidance from a physician and our professional team. With us, hospice care, including hospice at home, is at no cost to you. 1. Has the patient been diagnosed with a chronic illness? yes no None 2. Are the patient's illnesses or conditions worsening despite treatment? yes no None 3. Has the patient been frequently admitted to the hospital or visited the emergency room in the past few months? yes no None 4. Have the patient and doctor decided to get support at home? yes no None 5. Has the patient experienced a significant decline in mobility or ability to perform daily activities? yes no None 6. Has the patient been diagnosed with dementia, Alzheimer’s, or Parkinson’s disease? yes no None 7. Is the patient too frail or ill to visit the doctor’s office? yes no None 8. Is the patient experiencing uncontrolled pain or other distressing symptoms like shortness of breath or nausea? yes no None 9. Has the patient experienced a significant decline in mobility or the ability to perform daily activities? yes no None 10. Does the patient require assistance with most or all personal care tasks? yes no None 11. Has the patient experienced significant weight loss or decreased appetite over the past months? yes no None Please Fill your information to receive the test results by email. Name Email City Phone Time's up