LifeVine Survey
Exit this survey
1.
1
. Are you male or female?
Are you male or female?
Female
Male
2
. What is your age?
What is your age?
Under 30
30-39
40-49
50-59
60-69
70-79
Over 79
3
. What is your marital status?
What is your marital status?
Never married
Married
Divorced
Widowed
4
. How many children do you have? (Not including stepchildren.)
How many children do you have? (Not including stepchildren.)
None
1
2
3
4 or more
5
. What is your highest level of education?
What is your highest level of education?
Completed high school
Have not completed high school
Completed technical or post-high school training
Completed bachelors degree
Completed post-graduate degree
6
. What is your employment status?
What is your employment status?
not working
fulltime
part-time
fulltime mother/wife
retired
7
. What is your religious affiliation?
What is your religious affiliation?
Christian, non-denominational
Baptist
Methodist
Presbyterian
Other Protestant
Catholic
Other Religion
Not religious
8
. Rate your interest in living in a LifeVine residential community for women?
Rate your interest in living in a LifeVine residential community for women?
Very interested
Probably interested
Not sure
Probably not interested
Not interested
For more information, see http://www.mylifevine.org/pages/connect_in_community. Also comment below.
9
. At what age would you consider moving into a LifeVine Community?
At what age would you consider moving into a LifeVine Community?
Under 50
In my 50s
In my 60s
In my 70s
Over 80
10
. Name three things important to you in a retirement lifestyle.
Name three things important to you in a retirement lifestyle.
Powered by
SurveyMonkey
Check out our
sample surveys
and create your own now!
Javascript is required for this site to function, please enable.