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Assess My Needs - Step 1 of 2

We may be able to identify organizations close to your home that provide services you need. Complete the following to identify your needs.

  1. Enter your zip code in the Zip Code box. Zip Code is required.
  2. Enter the number of miles from your home in the Distance in Miles box.
  3. Click on your needs - the things you need help with. You must select at least one need.
  4. Click the "Start Search" button at the bottom of the questionnaire.
  5. View the next page (Step 2)

 Required      

Which of the following needs would you like to find help for?
Housing needs


Daily living assistance needs






Food and or meal needs



Skilled nursing care needs


Long term illness or disability needs






Social activity needs


Caregiver relief needs



For Help Call:
Statewide 643-ADRC(2372)
Maui 808-270-7774
Molokai 808-553-5241
Lanai 808-565-6818