What Home Care Consumers Actually Want: Insights from 500+ Survey Responses

Survey data from 500+ home care consumers reveals what families want from agencies: faster response times, transparent pricing, and clear communication. See the full results.

Jon Levinson, CEO at Sage - a home care software for improving business operations in home care scheduling

Jon Levinson

CEO & Co-Founder, Sage

A small home care agency office where a solo owner sits at a cluttered desk covered with sticky notes and printed intake forms, looking at a ringing desk phone, while a nearby monitor shows a spreadsheet titled “Intake Pipeline” with columns labeled “Lead Name,” “Status,” and “Next Step”; natural daylight, documentary style, 3:2.

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Last fall, Sage Care was selected to participate in the AgeTech Collaborative from AARP, an accelerator program that brings together startups, investors, and enterprises working to improve how people age. It was a tremendous experience, and one of the most valuable parts was the opportunity to run a series of consumer surveys through the program.

We surveyed hundreds of adults who had recently considered or purchased in-home care for themselves or a family member. The goal was simple: understand what families actually want when they're looking for home care, and where the industry is falling short.

The insights were eye-opening, and after sitting with this data for a few months, we decided it was too valuable to keep to ourselves. If the home care industry is going to get better at serving families, we need to start with what those families are telling us. So we're publishing the full results here, along with our commentary on what it means for agency operators and industry insiders.

We hope this data helps you run a better agency, build a better product, or make a better decision for your family.

Methodology

All surveys were conducted via the DISQO research platform in Fall 2025 as part of the AARP AgeTech Collaborative accelerator program. Participants were adults aged 45 to 85 who had considered or purchased in-home care within the previous two years for themselves or an adult family member. Sample sizes range from 90 to 151 per survey. Data was collected across six separate surveys covering discovery, decision-making, trust, website experience, value perception, and concept validation.

Response Time and Urgency

If there's one section of this post that every agency owner should read carefully, it's this one.


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Data Point

Source

1

81% expect a response within 1 hour; 41% expect a response within 15 minutes

Perceptions of Value (n=150), Q14

2

75% expect care to start within 48 hours (13% same day, 34% within 24–48 hrs, 32% within 3–5 days)

Consumer Awareness & Discovery v3 (n=143), Q8

3

78% want immediate notification if a caregiver is late or misses a visit (another 19% within 1 hour = 97% within 1 hour)

Perceptions of Value (n=150), Q13

4

74% want updates after every visit (37%) or daily (37%). Only 3% want updates only if there's an incident.

Perceptions of Value (n=150), Q15

The expectation gap here is staggering. Eighty-one percent of consumers expect to hear back within an hour. But as you'll see later in this post, 44% of respondents said they waited days for a response, and 15% never heard back at all. That's not a minor service gap. That's a structural failure in how most agencies handle intake.

For smaller agencies especially, this is both a challenge and an opportunity. You may not have a dedicated intake team, but if you can respond faster and more consistently than competitors, you're already ahead. This is a core part of why we built Sage Care: making sure no inquiry goes unanswered.

How Families Find and Choose an Agency

Most families don't just call one agency and go with it. They shop around, and they start online.


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Data Point

Source

5

75% contacted more than one agency before deciding (51% contacted 2–3, 18% contacted 4–6, 2% contacted 6+). Only 14% contacted just one.

Home Care Decision Journey v2 (n=151), Q4

6

54% chose based on price; 30% chose based on agency responsiveness (tied #3 with trustworthiness at 30%). Full ranking: Price 54%, Caregiver quality 44%, Responsiveness 30%, Trustworthiness 30%, Referral 29%, Proximity 23%, Reviews 21%

Home Care Decision Journey v2 (n=128), Q7

7

67% considered alternatives to agencies (private caregivers, family, adult day programs)

Consumer Awareness & Discovery v3 (n=143), Q11

8

Among those who hired independently over agencies, #1 reason was personal recommendation (47%), then price (38%)

Home Care Decision Journey v2 (n=34), Q3

9

29% look to Google first when searching for home care; 22% ask friends/family; 17% ask PCP; 13% hospital/rehab social worker; 10% community center; 8% insurer directory

Consumer Awareness & Discovery v3 (n=143), Q2

10

51% trust Google reviews most when evaluating agencies; 43% trust the agency website; 37% state licensing database; 29% Facebook groups; 23% Nextdoor; 22% Yelp

Consumer Awareness & Discovery v3 (n=143), Q3

11

Top keywords prompting a click from search results: reviews, price, location, service, reliability, rating, reputation

Consumer Awareness & Discovery v3 (n=143), Q13

12

32% asked family for recommendations first, 24% asked clinicians, 18% asked friends, 15% asked social workers

Consumer Awareness & Discovery v3 (n=143), Q7

Three things stand out here. First, you're almost certainly competing against other agencies for every lead. Three out of four families are calling at least two agencies. Second, price is the top deciding factor, but responsiveness and trustworthiness are right behind it. You can't always compete on price, but you can absolutely compete on how quickly and professionally you respond. Third, Google is the front door. Your online presence matters more than you think, and reviews are the currency of trust.

Trust and Credibility

Trust isn't built with a logo or a tagline. It's built with transparency.


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Data Point

Source

13

92% say transparency about caregiver screening and training is important (Top 2 Box)

Trust Signals & Credibility (n=151), Q2

14

89% say sharing response times or satisfaction scores would affect their trust (Top 2 Box)

Trust Signals & Credibility (n=151), Q4

15

Top trust signals: Caregiver certifications (57%), Licensing (54%), Years in service (45%), Hospital affiliations (39%), Testimonials (32%), Star ratings (24%)

Trust Signals & Credibility (n=151), Q1

16

Top skepticism triggers: Inconsistent information (58%), Vague services (50%), Hard-to-find licensing (45%), Pushy sales (41%), Too many perfect reviews (38%)

Trust Signals & Credibility (n=151), Q5

17

85% say seeing caregiver training details would influence their trust (Top 2 Box)

Trust Signals & Credibility (n=151), Q11

18

85% say agencies sharing client satisfaction survey results is important (Top 2 Box)

Trust Signals & Credibility (n=151), Q12

19

65% read reviews and 63% check state databases when verifying agency credibility; 48% call references; 48% ask a clinician

Trust Signals & Credibility (n=151), Q10

The skepticism triggers are particularly instructive. Notice that four of the five top red flags are about opacity: inconsistent information, vague services, hard-to-find licensing, and suspiciously perfect reviews. Families aren't looking for perfection. They're looking for honesty. If your website is vague about what you do, how much it costs, or who your caregivers are, you're triggering the exact alarm bells that drive prospects to your competitor.

Also worth noting: 89% say that sharing response times or satisfaction scores would affect their trust. This is a strong signal that tracking and sharing your intake performance metrics isn't just an internal exercise. It's a sales tool.

The Website and Intake Experience

Your website is your first impression. And for most families, the intake form is their first interaction with your agency.


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Data Point

Source

20

91% say seeing price ranges before contacting an agency is important (Top 2 Box); 61% say extremely important

Website & Intake Experience (n=151), Q1

21

93% say clear price range is important before contacting (Top 2 Box) — corroborates #20

Initial Customer Discovery v2 (n=90), Q2

22

68% say care plans help trust; 48% licensing badges; 38% client stories; 33% staff bios; 33% quality metrics

Website & Intake Experience (n=151), Q2

23

70% say video testimonials make them more likely to inquire (Top 2 Box)

Website & Intake Experience (n=151), Q3

24

Top 3 things on agency homepage: Pricing range (70%), Services list (61%), Reviews/testimonials (53%), Licensure (48%), Service area map (46%), Contact options (41%)

Initial Customer Discovery v2 (n=90), Q1

25

48% abandon intake forms requiring SSN; 47% if no privacy notice; 38% if sensitive questions; 35% if too long

Website & Intake Experience (n=151), Q4

26

68% likely to book intro call online if calendar slots are visible (Top 2 Box)

Website & Intake Experience (n=151), Q5

The pricing data is impossible to ignore. Over 90% of respondents, across two separate surveys, said price transparency is important before they even pick up the phone. Most agency websites don't include pricing. This is a massive disconnect.

The intake form abandonment data is equally actionable. Nearly half of consumers will bail on a form that asks for a Social Security number. Add a privacy notice, keep forms short, and don't ask for information you don't need at the first touch.

And if you don't have online scheduling on your site yet, 68% of families say visible calendar slots would make them more likely to book an intro call. That's a quick win.

What Consumers Think About AI

This was the section we were most curious about, given what we're building at Sage Care.


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Data Point

Source

27

48% say AI chatbot would be helpful in selecting an agency (Top 2 Box); 29% say not helpful (Bottom 2 Box). Net positive but polarized.

Website & Intake Experience (n=151), Q6

28

44% comfortable with AI intake call (Top 2 Box); 37% not comfortable (Bottom 2 Box). Polarized.

Website & Intake Experience (n=151), Q7

29

50% comfortable with check-in calls from an AI agent (Top 2 Box); 34% not comfortable. Slightly more acceptance for check-ins than intake.

Website & Intake Experience (n=151), Q15

The sentiment is net positive but clearly polarized. That tells us something important: AI in home care should augment the human experience, not replace it. Families want the efficiency and responsiveness that technology enables, but they also want to know a real person is involved in their care decisions.

This is exactly how we think about it at Sage Care. Our platform doesn't replace your team. It handles the administrative work that happens after calls and assessments, so your team can spend more time on the human side: building relationships, answering questions, and making families feel valued.

Loyalty, Retention, and What Makes Families Switch

Winning a client is one thing. Keeping them is another.


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Data Point

Source

30

59% said "responsive support" keeps them loyal long-term. Full ranking: Caregiver relationship (64%), Transparent billing (60%), Responsive support (59%), Continuity guarantees (32%), Proactive updates (30%)

Initial Customer Discovery v2 (n=90), Q14

31

Switching triggers: Unexpected costs (48%), Caregiver fit (46%), Missed visits (43%), Poor communication (43%), Billing errors (22%)

Consumer Awareness & Discovery v3 (n=143), Q15

32

90% say proactive check-ins from agency management are important (Top 2 Box)

Website & Intake Experience (n=151), Q14

The loyalty drivers mirror the selection criteria: responsiveness, transparency, and communication. And the switching triggers reinforce something every agency owner knows instinctively but doesn't always act on. Poor communication and missed visits aren't just operational problems. They're existential threats. When 43% of families say poor communication would make them switch, every unanswered call and every delayed follow-up is a retention risk.

Ninety percent say proactive check-ins matter. That's not a nice-to-have. That's table stakes.

Value Perception and Pricing

Families are price-sensitive, but they're not just looking for the cheapest option.


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Data Point

Source

33

57% say "reliability" justifies a 10–15% price premium; tied with "24/7 support" at 57%. Care plans 39%, Specialty training 38%, Continuity 19%, Technology 10%.

Perceptions of Value (n=150), Q1

34

83% say bundling services (transport, meals, check-ins) increases care plan value (Top 2 Box)

Perceptions of Value (n=150), Q7

35

91% say insurer coverage/reimbursement is important when choosing an agency (Top 2 Box)

Perceptions of Value (n=150), Q8

36

80% would pay a higher rate to have the same caregiver most days (Top 2 Box)

Perceptions of Value (n=150), Q11

37

92% say a clear picture of the intake process from start to finish is valuable (Top 2 Box)

Initial Customer Discovery v2 (n=90), Q6

Reliability is the number one justification for paying more. Not technology, not brand name. Reliability. That's good news for smaller agencies. You don't need the biggest marketing budget to be reliable. You need consistent follow-through, clear communication, and systems that make sure nothing falls through the cracks.

The caregiver continuity data is striking too. Eighty percent of families would pay more to see the same caregiver most days. If you can offer continuity and communicate it as a feature, you have a pricing lever most agencies aren't using.

What Agencies Get Wrong (and What to Do Instead)

We asked consumers directly: what do agencies do too much of, and what should they do more of?


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Data Point

Source

38

Agencies do too much of: Unclear pricing (51%), Excessive paperwork (38%), Aggressive sales (37%), Frequent follow-ups (29%), Long forms (26%), Industry jargon (22%)

Initial Customer Discovery v2 (n=90), Q10

39

Agencies should do more of: Clear pricing (64%), Transparent caregiver bios (46%), Realistic timelines (43%), Simple scheduling (34%), Respectful tone (33%), Proactive education (20%)

Initial Customer Discovery v2 (n=90), Q11

40

What makes comparing agencies hard: Hidden fees (57%), Inconsistent reviews (50%), Vague availability (46%), Unclear services (39%), Lack of outcomes data (38%)

Initial Customer Discovery v2 (n=90), Q7

This is basically a playbook. The "do less" and "do more" lists are mirror images of each other. Stop hiding your pricing. Stop making families fill out long forms before they even know if you're a fit. Start being transparent about who your caregivers are and what the process looks like.

The comparison difficulty data is equally telling. If families can't easily distinguish you from competitors, they default to price. Make it easy: be clear about your fees, your availability, and your outcomes.

Preferred Communication

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Data Point

Source

41

43% prefer phone calls for follow-up; 26% email; 21% text; 10% live chat. Phone is #1 but digital = 47% combined.

Initial Customer Discovery v2 (n=90), Q4

42

Comfort factors for chosen provider: Answered questions clearly (38%), Answered calls quickly (33%), Genuinely interested in family's wellbeing (30%), Introduced caregiver (27%), Won over loved one (23%)

Home Care Decision Journey v2 (n=151), Q8

Phone is still king, but not by much. Digital channels combined (email, text, live chat) actually edge out phone at 47% to 43%. The takeaway: agencies need to be reachable on every channel. If a family prefers to text and you only answer the phone, you're already behind.

And look at what made families comfortable with their chosen provider. Answering questions clearly and answering calls quickly are the top two. Not the fanciest marketing. Not the biggest brand. Just being responsive and helpful.

The Urgency Gap

One final pair of data points that ties this all together:


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Data Point

Source

43

43% needed home care within a week or less (17% within 24 hrs, 26% within the week). 25% within 1–2 weeks, 12% within the month, 21% planning ahead.

Home Care Decision Journey v2 (n=151), Q1

44

15% never heard back from the agency they chose; 44% waited days. Only 40% got a response within 24 hours.

Home Care Decision Journey v2 (n=151), Q9

45

91% felt valued by the agency they chose vs. only 73% by agencies they didn't choose — an 18-point gap in feeling valued.

Home Care Decision Journey v2 (n=35/128), Q10–11

Nearly half of families need care within a week. But 60% of them don't hear back within 24 hours, and 15% never hear back at all. This is the single biggest opportunity in home care operations right now. The bar for responsiveness is high, and most agencies aren't clearing it.

What This Means

The data across all of these surveys paints a consistent picture. Families searching for home care want three things above all else: speed, transparency, and to feel valued. They want to know how much it costs before they call. They want a response within an hour. They want to know who their caregiver is and what their qualifications are. And when they don't get those things, they move on.

For agency owners, this data is a roadmap. Many of the highest-impact changes don't require new technology or bigger teams. They require putting pricing on your website, shortening your intake forms, responding faster, and following up proactively. The agencies that do these things consistently will win more clients, retain them longer, and earn the trust that drives referrals.

At Sage Care, this research confirmed much of what we'd been hearing from agencies directly, and it shaped how we've built our platform. We exist to help agencies respond faster, follow up more consistently, and never let a lead slip through the cracks. If you're curious how that works in practice, schedule a call. We'd love to show you.

Looking for more? Dive into our other articles, updates, and strategies