Consider the following questions:

If you answer yes to one or more of the following questions, then you are "at-risk" and should consider a medical alert service. Call Jim Sledge at (919) 943-7548 and discuss your medical alert needs

We all know someone who is "at-risk" and needs a medical alert service.

frequently asked questions about medical alerts

contact royal alert for more information

Medical Alert Needs Assessment Questionnaire

1. Do you live alone? _____ Yes _____ No

2. Are there periods of the day or week when you are alone in your home? _____ Yes _____ No

3. Do you have a caregiver or home health care agency assisting you at home? _____ Yes _____ No

4. Have you fallen inside or outside your residence at least one time during the past 3 years? _____ Yes _____ No

5. Are there times when you feel weak or dizzy? _____ Yes _____ No

6. Are you worried that you may fall and not be able to call for help? _____ Yes _____ No

7. Do you worry abut taking a shower or bath alone? _____ Yes _____ No

8. Do you have one or more of these ailments? _____ Yes _____ No

• Arthritis

• Chronic Obstructive Pulmonary Disease (COPD)

• Congestive Heart Failure (CHF)

• Diabetes

• Hypertension or high blood pressure

• Low vision or visually impaired

• Osteoporosis

• Stroke

9. Do you take four or more medications? _____ Yes _____ No

10. Are you concerned that you may have a reaction to medication and not be able to get help? _____ Yes _____ No

11. Were you hospitalized or taken to the emergency room during the past 2 years? _____ Yes _____ No

12. Do you use a cane, walker, wheelchair, stair climber, or other device to help you balance or walk? _____ Yes _____ No

13. Are you afraid that someone may hurt you physically or break into your home? _____ Yes _____ No

14. Do you feel unsafe in your neighborhood? _____ Yes _____ No

Go UP

Need Assistance? Use Royal Alert to contact:

• Family

• Friends

• Neighbors

• Caregivers.



Use Royal Alert to call emergency services: • Ambulance • Emergency Technicians • Police • Fire Department.

To better serve you, our Care Center maintains a Five Diamond Certification from the Central Station Alarm Association.

Royal Alert, LLC
24 Innisfree Dr.
Durham, NC 27707
Phone: (919) 943-7548
Fax: (919) 246-9118