ElderCare Questionnaire

ElderCare Questionnaire


The purpose of this Personal Information Questionnaire is to help prepare for our upcoming consultation. This preparation provides us with important personal and family information about the person in need of care, their family and their trusted advisors. The last page of this questionnaire asks for an estimated value of the estate assets. Complete answers will help enable us to most effectively advise you.

It is very important that you complete and return Part I of the Personal Information Questionnaire to our office prior to our consultation meeting.

Click here to print the form.

After completing the printed form, please fax to (248) 538-1801
or mail to:

Mall Malisow & Cooney, P.C.
30445 Northwestern Highway
Suite 310
Farmington Hills, MI 48334

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