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Successful Aging Inventory

Aging is not a simple, uniform process. You may continue to do well in certain areas of your daily life, but not so well in other. Take a moment to consider how you or someone important in your life is doing, by checking off the appropriate box in the charts below.

If there are significant number of "fair" or "poor" ratings, whether in the same or different categories, it may be time to consider changes or interventions in the person's life.

Speaking with a physician or a geriatric specialist can help make the right decisions.

Dimension Excellent Good Fair Poor
Health        
Nutrition        
Sleep        
Mobility        
Physical Activity        
Hearing/Vision        
Cognitive Abilities        
Memory        
Substance Abuse        
Family Relationships        
Friendships        
Social Activities
Recreation
       
Personal Interests        
Personal Care        
Housekeeping        

Generations Counseling & Care Management, LLC
336 W Passaic St, Fourth Floor
Rochelle Park, NJ 07662
(201) 845-7030
Fax: (201) 845-0899



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