Quality SeniorGuide online provides comprehensive information related to housing, services and products in Western MA and Connecticut

An experienced, knowledgeable Referral Specialist is available to answer questions regarding the many facets of healthcare, housing options and services available in Western MA and refer you to the appropriate service providers.

This new, FREE personalized service is our way of helping you with the overwhelming challenge of finding appropriate housing, care or needed services.

Call 413-467-1101 or complete our Assessment Form and our Referral Specialist will be happy to assist you. All information you provide is held in confidence.

Please complete the following information:
*Required Information

Required Assistance	Full	Some	No
Taking Medications *
Preparing Meals *
Dressing *
Shaving, Hair Care *
Bathing/ Showering *
Toileting *
Eating *

Current Living Status *
Memory Loss *
Walking Ability *

Senior's First Name *
Senior's Last Name*

Housing Preferences
Care Requested		Apartment Size		Amenities & Services
	Assisted Living		Studio		Community Outings
	Retirement Community		One Bedroom		Full Kitchen
	Nursing Home		Two Bedroom		Mini Kitchen
	Alzheimer's Nursing Home		Companion		Pets Allowed
	Alzheimer's Assisted Living				Resident Parking
	Adult Family Home				Smoking
	Home Care				Walk-In Shower
	Not Sure

I am interested in housing closest to:
City:		State:
City:		State:
City:		State:


What has occured for you to consider senior housing?

*First Name:
*Last Name:
*Address:
*Home Phone:
*Work Phone:
*City:
*State:
*Zip Code:
*Relation to resident:
*How did you hear about us?:

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