Catholic Village Interest Survey

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.

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.)(Required.)

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

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

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

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)

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

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

Strongly interested

Interested

Not interested

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

Strongly interested

Interested

Not interested

8.Your contact information

First Name:

Last Name:

Phone number:

Email:

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

10.What additional comments would you care to make?

Catholic Village Interest Survey - Saint Veronica