What this check is, and is not
Japan's official care levels are decided by the municipal certification process: a 74-item investigation at the person's home, the attending doctor's written opinion, and an expert review board. No questionnaire reproduces that, and this one does not try. What it does is compress the question families actually face (is it time to do something, and what?) into the six areas professionals look at first, and point each pattern toward its practical next step.
Whatever the result, two things are always safe to do: record what you observed, with dates, because the certification process goes better with concrete examples; and talk to the community support center for the parent's address, which is free and exists for exactly this conversation. Our guide to care levels in Japan explains the official scale, and the cost simulator shows the budget shape once a level is in view.
