Client application

Give your loved one someone to talk to.

Fill out the form below and we'll schedule a free info call — before anything else happens.

Application received!
Thank you for reaching out. We'll be in touch within one business day to schedule your free info call. We're looking forward to finding the right companion for your loved one.

Your information

First name

Last name

Phone

Your relationship to your loved one

About your loved one

Their first name

Their age

City & state

Living situation

How would you describe their personality?

Outgoing & talkative Warm but reserved Thoughtful & reflective Funny & lighthearted A mix of all

Their interests, hobbies, or favorite topics

Anything we should know? (health, hearing, memory, preferences)

Scheduling preferences

Best days for calls

Weekdays Weekends Either works

Best time of day

Morning Afternoon Evening Flexible

Choose a plan

Essential

$129

per month

1 call/week · Quarterly report

Popular

Standard

$239

per month

2 calls/week · Monthly report · Holiday gifts

Premium

$359

per month

3 calls/week · Weekly report · Monthly gifts

Not sure which plan? We'll help you decide on the info call. No payment collected until after we've spoken.

Final details

How did you hear about us?

Any questions or anything else you'd like us to know?

No payment is collected today. We'll reach out within one business day to schedule your free info call.
Questions? daniel@meetcompanions.care · (609) 412-8307