Eligibility Questionnaire
Answer the questions below to see which Senior Life products this client qualifies for.
Select month, day and year
Do you currently use tobacco or nicotine products?
Are you currently hospitalized or have you been hospitalized in the last 90 days?
Have you been hospitalized 2 or more times in the last 10 years?
Have you ever been diagnosed with cancer or had a stroke?
Do you take any prescription medications?
Do you have serious health conditions (organ failure, dialysis, dementia, current chemotherapy, confined to bed/wheelchair, or require oxygen)?
