Almost eveyone over 65 will require some kind of long-term care during their lifetime. This care could be anything from assistance with cleaning the house, to doing chores, getting dressed, bathing, or providing serious medical attention. This care can be provided in the home, assisted living facility or nursing home. The key to meeting this need for care is to know what is important to you and having a plan to pay for it. Please take a minute to answer the following questions to determine you care goals.

Rank the importance of the following statements regarding your potential care needs . Use the scale where "1" is least important or least confident and "10" is most important or most confident.

I want care provided for as long as possible in my home.	0 1 2 3 4 5 6 7 8 9 10
I want the option to have my care provided by professionals should my family have difficulty prividing care.	0 1 2 3 4 5 6 7 8 9 10
I want the highest quality care available even though it may cost more.	0 1 2 3 4 5 6 7 8 9 10
I want to leave some estate to my family.	0 1 2 3 4 5 6 7 8 9 10
I want to ensure my spouse has assets to maintain our standard of living for his/her lifetime.	0 1 2 3 4 5 6 7 8 9 10
I am concerned about the ability to qualify for insurance should my health change.	0 1 2 3 4 5 6 7 8 9 10
I don't want to rely on the government for my care.	0 1 2 3 4 5 6 7 8 9 10
I am concerned about the prospect of burdening my family with my care.	0 1 2 3 4 5 6 7 8 9 10