Marian Manor Move-Out Survey
Dear Friend,
We hope that your, or your relative's, experience living with us was a positive one. We would appreciate your helping us serve our residents better by completing this survey. We find the opinions and suggestions of our residents and their families to be one of our most valuable tools for evaluating our provision of quality housing and services.
If you prefer to complete a paper survey, please contact Karen at Marian Manor at 757-456-5018 or email karen@marian-manor.com.
Again, thank you for choosing our community and for giving us the opportunity to serve you.
Your Name *
Your answer
Resident's Name (if different)
Your answer
Your Address (mailing) *
Your answer
Your Email *
Your answer
Please describe your overall experience at our community.
Your answer
Did we deliver what we promised?
Your answer
How long did you, or your relative, reside at Marian Manor?
Please describe your experience with the following departments in terms of service, delivery, friendliness of staff, and customer services provided:
Management:
Your answer
Marketing / Admissions:
Your answer
Administrative Office:
Your answer
Maintenance:
Your answer
Housekeeping:
Your answer
Nursing:
Your answer
Transportation:
Your answer
Activities:
Your answer
Food Service:
Your answer
Please mention any staff members who were especially helpful so that we can recognize those individuals.
Your answer
Were you, or your relative, pleased with the overall appearance, upkeep, and cleanliness of the grounds and public areas of the community? Please include any suggestions you have for improvement in this area.
Your answer
Were you, or your relative, satisfied with the suitability and attractiveness of your apartment (e.g., layout, roominess, design)? Please include any suggestions you have for improvement in this area.
Your answer
Did we take care of service and repair requests in a prompt and satisfactory manner? Please explain.
Your answer
Were you, or your relative, satisfied with the activities program? Please include any suggestions for improvement in this area.
Your answer
Were you, or your relative, satisfied with the dining service in our community? Please include any suggestions for improvement in this area.
Your answer
Were you, or your relative, satisfied with the nursing care provided? Please include any suggestions for improvement in this area.
Your answer
Reason for moving:
Was the staff helpful in assisting you, or your relative, during the move-out process?
Your answer
If the move-out was option, is there anything we could have done that would have prevented you, or your relative, from moving out?
Your answer
Your recommendation as a former family member/responsible party is priceless to us and a quote from you could help future residents and their family choose the best community for their loved one. With that in mind, would you recommend Marian Manor to other people? Why or why not?
Your answer
Do you give permission for us to share your quotes with prospective families who desire a personal recommendation?
Do you have any other comments or suggestions?
Your answer
THANK YOU
Thank you again for completing this survey. We strive for excellence at Marian Manor and your feedback is crucial to the continual improvement of our community and team members.
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