LivEzee — Assessment & Proposal Tool
PWM use only · English · Generates Word proposal
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📄 Upload document (optional but recommended)
📎
Upload prescription, discharge summary, or previous assessment
Word (.docx), PDF, or text file · Data extracted automatically
👤 Client details
Client full name *
Age *
Gender
Female
Male
Language
Assessment date
Living situation
— select —
Lives alone
With spouse only
With family
Care facility
Other
Caregiver present?
— select —
Yes — full time
Yes — part time
No
Not known
Current location
At home
Hospital
Care facility
👨👩👧 Family & team
Family contact name *
Relation to client
NRI family?
No
Yes — based abroad
PWM assigned *
🚩 Situation flags — select all that apply
Lives alone
No family present at home
Emergency history
Documented incident or crisis
Psychiatric conditions
Active diagnosis or medication
Dementia / cognitive decline
Diagnosed or significant impairment
Advanced / terminal illness
Cancer, end-stage organ disease
Post-discharge
Recently left hospital
Unsafe home dynamic
Safeguarding concern
Medication end dates
Prescriptions expiring <3 months
Aspiration / swallowing risk
Risk of food entering lungs
Mobility / fall risk
Wheelchair, limited mobility
Additional situation not listed above
🩺 Conditions & concerns
✓ Auto-populated from document
High risk
Moderate
Monitor
+ Add concern
💊 Medications
✓ Auto-populated from document
⚠ High medication count — structured oversight required
+ Add medication
📋 Assessment observations
Key observations from the assessment visit
Emergency / incident history
Behavioural observations
✅ Phase 1 — interventions needed
To be scheduled
✓ Completed
Urgent — this week
LivEzee to coordinate
+ Add intervention
📦 Package & pricing
Independent Living
₹8,500
/mo
Weekly calls · Monthly PWM visit · Annual EzeeScreen · LivEzee Assist
Enhanced Living
₹15,500
/mo
3-day calls · 2 PWM visits · Quarterly EzeeScreen · 2 companion visits
Advanced Care
₹38,000
/mo
Daily nursing calls · 2 nursing + 2 PWM visits · Weekly companions
Add-ons
Nurse-accompanied PWM visit (monthly)
₹1,664
Caregiver / home nurse management
₹3,705
Doctor review (monthly)
₹845
Extra companion visits (2 additional/month)
₹620
EzeeScreen 360 (additional standalone)
₹4,000
Total monthly (incl. GST)
₹—
+ One-time onboarding ₹4,835–₹5,395 · Specialist consultations at actuals
⚠ Assumptions being made — correct if inaccurate
More information = more accurate (and potentially lower) pricing.
Writing the proposal...
Takes about 20 seconds
Generate proposal →
⬇ Download Word (.doc)
← Edit
LivEzee
Wellbeing Assessment & Service Proposal
Assumptions made — correct if inaccurate
Act Now — Needs Attention Within 2 Weeks
Ongoing Watch — Structured Monitoring
What We Are Aiming For — 90-Day Outcomes
Phase 1 — Getting the Foundation Right
Phase 2 — Ongoing Monthly Plan
Next Steps