Designing the Ideal Future of Senior Living

Welcome! This brief survey is a crucial tool for future planning and discussion with your family. This is for respondents who are 55+ years of age.

Instead of asking about what is wrong now, we want to know what your ideal care environment looks like. This helps us understand the non-negotiable standards you expect for quality, safety, dignity, and personalized care in your future home.

Your honest ratings will guide the development of better options for you and your community. 

Thank you for helping us design the future of care.

Please give us your age, sex, and state or country so that we may tally the results.

Email *
What is your age, sex, and state or Country *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report