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1.
Which most closely represents your knowledge of and past experience(s) with senior living communities?
(Please check all that apply.)
I am aware of senior living communities in the area
I have visited friends/family who live in a senior living community
I have inquired to at least one senior living community but have never toured
I have toured at least one senior living community
I live in a 55+ or senior living community
I have no knowledge of senior living communities
2.
Have you ever seriously considered any senior living communities as a place to live?
Yes
No
3.
If Yes, which one(s)?
4.
Considering everything you know or have heard about The Lodge of Northbrook, how likely would you be to recommend this community?
Very likely
Likely
Somewhat likely
Not at all likely
I have never heard of this community before
5.
What type of senior living community would you be most likely to consider?
(Please check all that apply.)
Independent living community with no on-site care services
Independent living with optional care services and/or assisted living on-site
Assisted living, if needed
Memory care, if needed
Retirement community with a full continuum of care
None of the above
6.
Which best describes your thoughts about moving to a senior living community.
(Please choose one.)
I would move to take advantage of wellness opportunities and the lifestyle
I would move to take advantage of social programs and life-enrichment activities
I would move when I/we need help with home maintenance and upkeep
I would move when I/we need personal assistance or healthcare services
I am unsure about moving to a senior living community
Other (please specify)
7.
If you are unsure about moving to a senior living community, what is the primary reason?
8.
Which senior living pricing structure is most appealing to you?
(Please choose one.)
An upfront entrance fee with a lower monthly fee
A rental with a higher monthly fee but no upfront fee
Not sure/don't have a preference
9.
What is your current living situation?
An apartment/condominium
A single-family home/townhome
A 55+/senior living community
Live with my adult child/family member
Other (please specify)
10.
How long have you lived in your current home?
Less than 1 year
1 to 5 years
6 to 10 years
11 to 20 years
More than 20 years
11.
As you think about your future years and potential needs, where do you envision living?
In my current home
Downsizing to a smaller home or apartment/condominium
Moving to a senior living community
Moving in with my adult child
Other (please specify)
12.
When do you feel you will be ready to make your next move?
Within the current year
1 to 3 years
3 to 5 years
5+ years
Not planning to move
13.
What types of activities do you enjoy the most?
(Please check all that apply.)
Arts/crafting
Cards/games
Continuing education/lectures
Cooking/culinary
Films/movies
Fitness/exercise
Gardening
Museums/exhibits
Music/concerts
Nature/outdoors
Performing arts
Reading
Sewing/knitting
Spiritual/religious
Sports
Technology/computer
Traveling
Volunteering
Walking/jogging
Word games/activites
Other (please specify):
14.
If you were to consider a move to a senior living community, how important would the following options/opportunities be in influencing your choice to move?
Not important
Somewhat important
Very important
Overall community atmosphere
Not important
Somewhat important
Very important
Size of the accommodations
Not important
Somewhat important
Very important
Ability to customize residences
Not important
Somewhat important
Very important
Not-for-profit community
Not important
Somewhat important
Very important
Reputation and stability
Not important
Somewhat important
Very important
Pricing/fee structure
Not important
Somewhat important
Very important
Good value for the fees
Not important
Somewhat important
Very important
On-site access to higher levels of care
Not important
Somewhat important
Very important
Flexible dining program
Not important
Somewhat important
Very important
An array of organized daily activities and events
Not important
Somewhat important
Very important
New construction
Not important
Somewhat important
Very important
15.
What are your primary concerns as you think about the future?
(Please check all that apply.)
Social interaction/companionship
Accessing care/support when needed
Financial resources
Staying engaged and active
Managing medications
Memory issues
Losing independence
Safety and security
Transportation challenges
Home maintenance
I have no concerns at this time
16.
Do you have long-term care insurance?
Yes
No
17.
What types of seminars/events most interest you?
(Please check all that apply.)
Open houses/residence tours
Real estate/downsizing
Understanding senior living options
Health and wellness
Financial planning/estate planning
Entertainment/social events
Continuing education/lectures
Other (please specify):
18.
Thank you for taking the time to complete this survey. If you would like to be entered in the drawing to win one of five $100 Visa gift cards, please provide your contact information below:
Name
Email
Phone
