Catholic Village Interest Survey - Saint Veronica

Serving the elderly in the Arlington Diocese is a top priority of Bishop Burbidge. The Catholic Village project seeks to address their very specific communal and sacramental needs. We are in the very early stages of planning to build the ideal final homes for practicing Catholics who want to attend daily Mass and desire to be surrounded by loving people of all ages in addition to their elderly peers. Would this excite your loved ones? Maybe one day even you? The following survey is intended to help the diocese gauge the parish interest in this senior living initiative on their parish grounds.

Question Title

* 1. I understand the vision of the Catholic Village concept (a senior living facility co-located with the church and the school) and believe this should be a ministry of this parish. (Select one.)

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

Question Title

* 2. For whom is your interest in a senior living facility on the parish grounds? (Select one.)

For myself

For a loved one (to include one that is out-of-state)

For myself and a loved one

For neither, but for the good of the parish and local community

For neither, because I do not support this idea

Question Title

* 3. What do you think is most needed in this parish facility? (Select one.)

Independent Living (Housing for active seniors seeking community, convenience, and minimal assistance)

Assisted Living (Housing with support services for seniors needing help with daily activities)

Memory Care (Specialized care for seniors with Alzheimer's or other memory impairments)

Question Title

* 4. Which amenities do you think are essential in a Catholic Village on parish grounds? (Select all that apply.)

Nursing care

Coffee shop

Fitness center

Garden

Co-working space

Pet care

Game or recreation room

Movie room

Arts & Crafts room

Adoration chapel

Shuttle service to local activities

Other (please specify)

Question Title

* 5. Would you be more interested in the Catholic Village facility for yourself or a loved one than in a conventional, secular facility. (Select one.)

Yes

Maybe, but I need more information

Question Title

* 6. I would be interested in working in a PROFESSIONAL capacity at the Catholic Village. (Select one.)

Strongly interested

Interested

Not interested

Question Title

* 7. I would be interested in VOLUNTEERING at the Catholic Village. (Select one.)

Strongly interested

Interested

Not interested

Question Title

* 8. Your contact information

First Name:

Last Name:

Phone number:

Email:

Question Title

* 9. What are the best ways to follow-up with you on your interest? (Select all that apply.)

Phone

In-person meeting

At a parish town hall

Catholic Village Interest Survey - Saint Veronica

Question Title

Question Title

* 1. I understand the vision of the Catholic Village concept (a senior living facility co-located with the church and the school) and believe this should be a ministry of this parish. (Select one.)

Question Title

* 2. For whom is your interest in a senior living facility on the parish grounds? (Select one.)

Question Title

* 3. What do you think is most needed in this parish facility? (Select one.)

Question Title

* 4. Which amenities do you think are essential in a Catholic Village on parish grounds? (Select all that apply.)

Question Title

* 5. Would you be more interested in the Catholic Village facility for yourself or a loved one than in a conventional, secular facility. (Select one.)

Question Title

* 6. I would be interested in working in a PROFESSIONAL capacity at the Catholic Village. (Select one.)

Question Title

* 7. I would be interested in VOLUNTEERING at the Catholic Village. (Select one.)

Question Title

* 8. Your contact information

Question Title

* 9. What are the best ways to follow-up with you on your interest? (Select all that apply.)

Question Title

* 10. What additional comments would you care to make?