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Kansha.care - Submit Interest

Who are you signing up for?

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Who are you signing up for?

A

Parents or Parents-in-law

B

Myself

C

Other family members

Age of elder(s)

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Age of elder(s)

A

60-69

B

70-79

C

80+

What worries you the most? Select up to 2

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What worries you the most? Select up to 2

Risk of falling at home

Risk of falling outside home

Not knowing when they’ve had a fall

Being alone in an emergency

Delay in getting help

Managing care from abroad

Unreliable domestic help

What would ensure your peace of mind?

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What would ensure your peace of mind?

A

Minimizing risk of falls before they take place

B

Knowing someone will respond immediately in an emergency

C

Both equally important

How do you currently handle safety?

*

How do you currently handle safety?

Family checking in frequently

A caregiver / helper

A device or alarm

Nothing formal yet

Other

City where the elders live

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Your Name

*

Your Phone Number

*

Your Email

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Would you be open to a short call to share feedback?

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Would you be open to a short call to share feedback?

A

Yes, please call me

B

Maybe later

C

No, just email me the details