6 quick questions • ~60 seconds

Hospice & Palliative Care Quiz

Keeping You Home, Keeping You Safe

Answer a few questions to learn whether hospice or palliative care might help you or a loved one. This is quick, private, and for general guidance only.

1. Hospice discussion

Has a clinician discussed hospice or suggested focusing on comfort rather than cure, or mentioned a life expectancy of about six months or less?

Yes No

2. Noticeable decline

Have you noticed a decline over the last 6 months (for example, weight loss, reduced strength or appetite, more time in bed/chair, or needing more help)?

Yes No

3. Recent hospital/ER use

Have there been two or more hospital or ER visits in the past 3 months?

Yes No

4. Symptom burden

Are there distressing symptoms (such as pain, breathlessness, nausea, anxiety, poor sleep) that are hard to control despite current treatment?

Yes No

5. Daily activities & caregiving

Do you need help with most daily activities (bathing, dressing, eating, walking), or do caregivers feel overwhelmed by support needs?

Yes No

6. Interest in palliative care

Do you have a serious illness (for example, advanced cancer; heart failure; COPD; dementia; kidney or liver disease) and want to focus on comfort, quality of life, and coordinated support—even while receiving other treatments?

Yes No

This quiz is for information only and does not replace medical advice. Hospice eligibility requires a physician’s certification of terminal illness (life expectancy of ~6 months or less) and electing the hospice benefit. Palliative care can be provided alongside curative treatment. Coverage depends on your plan and clinician’s orders.

Your Results

You answered 0 of 6 questions in a way that suggests hospice or palliative care may help.

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