Tell us a little about you
Share who needs care, the kind of help that would make a difference, and when you’d like to begin.
Veterans. Families. You.
A little help.
A fuller life
at home.
Answer a few simple questions to explore home care for you or someone you love.
About two minutes. Go at your own pace.
- For Veterans and non-Veterans
- Complete it for yourself or a loved one
- Go at your pace. Go back at any time.
VA eligibility, authorization, services, and approved hours are determined by the Department of Veterans Affairs. This questionnaire does not determine eligibility.
Veteran-focused guidance
Family-centered support
Care around your needs
The comfort of home
Made for real families
Clear, familiar, and comforting
for older adults.
For people age 50 and above, a home care page should feel calm, trustworthy, and easy to understand. That is why this version uses warm home photography, larger readable sections, and simple next steps.
- Real home moments instead of flashy design.
- Friendly imagery that feels safe, respectful, and relatable.
- Simple guidance for families who may feel overwhelmed.
A simpler way forward
You don’t have to
figure it out alone.
Whether you’re exploring care for the first time or helping a parent take the next step, start with what matters most to your family.
Explore your possibilities
Consider private-pay care and, for Veterans, possible VA home care options. We’ll keep the questions relevant.
Take your next step
Bring your needs and questions together, so you can have a more informed conversation about care.
Support for everyday living
Small moments.
A meaningful difference.
Help can look different for every family. Tell us which parts of the day could feel a little easier.
Personal care
Support with bathing, dressing, and the routines that help someone feel like themselves.
Comfort at home
Help with meals, light housekeeping, and keeping everyday life feeling familiar.
Companionship
A conversation, a shared activity, and meaningful connection throughout the day.
Daily independence
Discuss mobility support, transportation needs, and medication reminders.
Available services depend on the care plan, location, and any applicable authorization.
What support can look like
Support that feels human,
not clinical.
Older adults and their families often respond best to familiar home settings, gentle body language, and faces that feel warm and approachable.
Companionship
Friendly visits and a sense of ease can help the home feel lighter and less overwhelming.
Guidance
Clear conversations help families understand the next step without feeling rushed.
Daily independence
Support with movement and routines can make everyday life feel safer and more comfortable.
The moments that matter
More peace of mind.
More time to be family.
Knowing Dad has help with his daily routine would let me spend more time simply being his daughter.
I want to stay in the home I love. A little support could help me keep doing the things that make it mine.
Having someone explain the next steps would make a big decision feel a little less overwhelming.
A little more clarity
Good questions.
A helpful place
to start.
You don’t need to have all the answers before you explore your options.
Back to the questionsCan I complete this for a family member?
Yes. Choose your husband, father, or Other at the start. The questions will adapt to the person who needs care. On the last step, enter your own contact details as the person asking about care.
Does the VA cover home care?
Some enrolled Veterans may qualify based on community-care eligibility, clinical needs, and local availability. A copay may apply. Your VA care team can explain your options and confirm authorization. Read the VA’s home care guidance (opens in a new tab).
What if the person needing care isn’t a Veteran?
You can still complete the questionnaire. Choose “No” for Veteran status, and we’ll skip the VA questions and move directly to care needs and timing.
What if I’m unsure how to pay for care?
If you’re shown the funding question, choose “I’m not sure yet.” You can continue exploring the help needed and your preferred timeline without committing to a funding option.
What happens when I finish the questionnaire?
This editable preview creates a care summary on your screen. Your answers stay in this page while it is open; nothing is sent to Thema Home Care. A live contact service must be connected before the form can request a callback.
Let’s make home feel easier.
For you. For someone you love. One simple step at a time.