Resident and Family Survey

Villagio Senior Living is dedicated to the comfort and happiness of our residents. This survey is for you and/or your loved one, who is a Villagio Senior Living Resident. We want your feedback on information given or comments made about our community and staff. With feedback we can take the apropriate steps needed to meet all expectations of residents and members of their family.

There will be an opportunity to leave your contact information at the end if you choose to, or you may choose to remain anonymous. Thank you for sharing your insights so that we can make Villagio the best place to live!

We encourage you to be very specific in your responses, so that we can take your input and attempt to make changes to better serve you or your loved one.

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* 1. In what Villagio community does you or your loved one live?

Broomfield, CO

Carrollton, TX

Kerrville, TX

McKinney, TX

Oklahoma City, OK

Plano, TX

Edmond, OK (Bradford Village)

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* 2. How long have you or your loved one lived with Villagio Senior Living?

Less than 1 year

Between 1 and 3 years

Between 3 and 5 years

Between 5 and 7 years

Between 7 and 10 years

10 years +

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* 3. What were the key decision factors that lead you to choose Villagio Senior Living? Please provide as much detail as possible.

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* 4. How would you rank the care provided to you or your loved one by the Villagio staff? 5 stars being the best.

Please provide any details.

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* 5. What do you or your loved one think of the cleanliness of the community they currently live in?

Please provide any details.

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* 6. Rank the culinary experience / food service provided to you or your loved one by Villagio Senior Living.

please provide any details.

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* 7. Please rank the level of responsiveness when you express an issue or concern.

Please provide any details.

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* 8. Please rank your impression of the activity program at Villagio Senior Living.

Please provide any details.

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* 9. Please rate your overall experience with Villagio Senior Living?

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* 10. Please provide any suggestions on how we could improve our performance and meet expectations?

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* 11. How likely is it that you would recommend Villagio Senior Living to a friend or colleague?

NOT AT ALL LIKELY

EXTREMELY LIKELY

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* 12. This survey is completely optional, but by providing your contact information, we can follow up with any specific ideas for further input and clarification.

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Thank you for taking the time to answer these questions. Your input will allow us to work to improve the lives of all of our residents.