|
|
|
|
DEMO PAGE
To subscribe
to QuickMatch, please call Marin CIL
415-459-6245 ext. 24. The full
version will give you the workers contact
information. This is a FREE service
to consumers and workers of Marin CIL.
Personal Information |
| Gender: |
|
|
|
|
|
|
| Availability |
| |
| Morning
|
Afternoon
|
Evening
|
Overnight
|
|
| Monday: |
|
| Tuesday: |
|
| Wednesday: |
|
| Thursday: |
|
| Friday: |
|
| Saturday: |
|
| Sunday: |
|
|
|
|
|
|
|
| Miscellaneous Information |
|
|
|
| Desired Personal Skills |
| |
|
| |
Experienced Willing
to do |
| Elderly:
|
|
| Bathing:
|
|
| Dressing: |
|
| Feeding:
|
|
| Toilet:
|
|
| Mobilility: |
|
| Bladder/Bowels:
|
|
| Equipment Main:
|
|
| Transfer.... Stand-by:
|
|
| Transfer.... Hands-on:
|
|
| Transfer.... Total assistance:
|
|
| Cooking:
|
|
| Shopping/errands:
|
|
| House Cleaning:
|
|
| Help with exercise:
|
|
| Gardening/yard work:
|
|
| Desired Health Skills |
| |
|
| |
Experienced Willing
to do |
| Disabled:
|
|
| IHSS:
|
|
| Alzheimer’s or other Dementia:
|
|
| Arthritis:
|
|
| Cancer: |
|
| Compound Fracture:
|
|
| Congestive Heart Failure:
|
|
| Developmental Disability:
|
|
| Diabetes:
|
|
| Environmental Illness:
|
|
| Fall/Accident:
|
|
| HIV/AIDS: |
|
| Left-Hemisphere Stroke:
|
|
| Mental Disability:
|
|
| Multiple Sclerosis:
|
|
| Nutritional risk: |
|
| Osteoporosis:
|
|
| Paraplegic:
|
|
| Parkinson:
|
|
| Quadriplegic:
|
|
| Right-Hemisphere Stroke:
|
|
| Stroke/Cerebrovascular Disease:
|
|
| Terminal Illness:
|
|
| Transient Ischemic Attack:
|
|
| Traumatic Brain Injury:
|
|
| Hoyer
|
|
|
|
| |
|