Online Interview Questions Your information is CONFIDENTIAL and will not be shared, sold, or distributed. Contact Information First Name / Alias (required) Last Name Your Email (required) Phone Number: How do you want us to contact you? No PreferencePhoneEmail Neglect *** The following questions are all required *** How do you get to your appointments? How do you get to the store for groceries? What medications do you take? Does someone give you the medications when you need to take them? Who helps you sort out what to take and when? How do you get your prescriptions? Who handles your finances? Do you have any friends or family who live nearby? How often do you see them? What did you eat and drink today? Does anyone help you at home? If so, who? Do you pay the person to help you? How much? How often? Do you have an agreement with them that they will inherit any part of your estate? Is his their on the title to your house, car, or other property? Do you have any advanced directives? Do you have a will? When was it written? Δ * Questions based on the WCADV NCALL interview questions. Tweet