SURVEY TO UNDERSTAND THE AWARENESS AND ACCEPTANCE OF SENIOR LIVING FACILITY
Aging is a time of adaptation and change, and planning your future housing needs is an important part of ensuring that you continue to thrive as you get older. Whether your search for a senior living facility is prompted by a serious medical condition or the desire for a lifestyle change, finding the right place to live can be challenging for both you and your family. However, the earlier you assess your current needs and how those needs may evolve over time, the more choices and control you’ll have.

Of course, every older adult is different, so the senior housing choice that’s right for one person may not be suitable for you. The key to making the best choice is to match your housing with your lifestyle, health, and financial needs. In this survey, we intent to understand your requirements and expectations from a Senior Living Facility, which could be incorporated in our upcoming facilities in Trivandrum, Aluva & Bangalore. This will help us to offer you a Senior living paradise that’s right choice for you and ensure you enjoy a happy, healthy, and fulfilling home environment as you age.

Please spare your valuable 5 minutes to fill in the questionnaire. We assure you that all data collected will be kept confidential.

Email address *
PERSONAL INFORMATION
NAME
Your answer
AGE
Your answer
GENDER
OCCUPATION
Your answer
CONTACT NUMBER
Your answer
CURRENTLY RESIDING AT
Your answer
WHAT TYPE OF HOME DO YOU LIVE IN CURRENTLY
DO YOU CURRENTLY RENT OR OWN YOUR HOME?
WHO ALL LIVE IN YOUR HOME (OTHER THAN YOURSELF)?
WHERE DO YOUR CHILDREN LIVE?
WOULD YOU LIKE TO CONSIDER MOVING TO A SENIOR CITIZENS COMMUNITY SOMETIME?
IF YES – WHEN WOULD YOU PLAN FOR IT?
Your answer
FOR WHOM WOULD YOU LIKE TO OPT A SENIOR LIVING FACILITY?
WHAT TYPE OF LIVING WILL YOU OR YOUR LOVED ONE PREFER?
ACCORDING TO YOU, AT WHAT AGE SHOULD A PERSON START THINKING ABOUT MOVING IN TO A SENIOR LIVING FACILITY?
Your answer
PLEASE RANK THE BELOW MENTIONED REASONS ACCORDING TO YOUR INTEREST IN CHOOSING A SENIOR LIVING FACILITY?
RANK 1
RANK 2
RANK 3
RANK 4
RANK 5
ACTIVE RETIREMENT AND ENJOY VIBRANT SOCIAL ACTIVITIES
LIVE IN A PROFESSIONALLY MANAGED AND CAREFULLY DESIGNED COMMUNITY SETTING
PERSONALISED ELDERLY CARE AND 24-HOUR SUPPORT SERVICES
AVAILABILITY OF PERSONAL CARE AND HOUSEHOLD SUPPORT (E.G.HOUSEKEEPING, MEALS, MAINTENANCE) INCLUDING ASSISTANCE FROM FAMILY MEMBERS
RISING LIVING COSTS COMBINED WITH RELATIVELY FIXED INCOMES
MENTION OTHER REASONS IF ANY
Your answer
WHAT KIND OF ENVIRONMENT WOULD YOU PREFER?
PLEASE RANK YOUR LOCATION PREFERENCES FOR A SENIOR LIVING FACILITY ACCORDINGLY.
RANK 1
RANK 2
RANK 3
RANK 4
RANK 5
PROXIMITY TO FAMILY AND FRIENDS
PROXIMITY TO DOCTORS AND HOSPITAL
NEIGHBOURHOOD REPUTATION
ACCESS TO PUBLIC TRANSPORT
ACCESS TO LEARNING OPPORTUNITIES
DETERMINING FACTORS
NOT IMPORTANT
SOMEWHAT IMPORTANT
VERY IMPORTANT
PRICE
LOCATION
FACILITIES
ADDITIONAL DETERMINING FACTORS {please list any additional determining factors that you would prefer in a senior living facility}
Your answer
WE WOULD LIKE TO OFFER YOU THE FOLLOWING OPTIONS. WHICH OPTION WOULD YOU LIKE TO CHOOSE?
WE OFFER MANY AMENITIES SUCH AS FITNESS PROGRAMS, EXTENSIVE OPPORTUNITIES FOR SOCIALIZATION AND ALTERNATIVE WELLNESS MODALITIES SUCH AS FITNESS POOLS THAT ARE UNIQUE TO OUR COMMUNITY. [please mark your choice that you would be interested in:]
YES
NO
GYM
SWIMMING POOL
CLUB FACILITY
AYURVEDA
PRIMARY HEALTHCARE
PEOPLE HAVE DIFFERENT NEEDS THAT DETERMINE THEIR PEACE OF MIND AND HAPPINESS. HOW IMPORTANT ARE THE FOLLOWING FOR YOUR PEACE OF MIND AND WELL-BEING? {please rank accordingly}
1
2
3
4
5
COMPANIONSHIP AND COMPANY OF LIKE-MINDED PEOPLE
EASE OF LOCAL TRAVEL E.G. FOR VISITING FRIENDS, ATTENDING EVENTS, SHOPPING ETC.
SECURITY – DISTRESS ALARMS, FACE DETECTION CAMERAS, BIOMETRIC DOORS ETC.
EASE OF ACCESS AND SAFETY IN MOVING AROUND THE FACILITY – BUGGY’S, ESCALATORS ETC
MEDICAL SUPPORT & EMERGENCY ASSISTANCE WHEN NEEDED – DOCTOR, AMBULANCE AND PRIMARY CARE
RELIABLE MAINTENANCE & REPAIR SERVICES E.G. PLUMBING, ELECTRICAL, PAINTING ETC
A HELPDESK FOR OUTSIDE TASKS SUCH AS BILL PAYMENTS, DROPS, DOCUMENTATION ETC.
A DEPENDABLE PERSON TO ESCORT / ACCOMPANY ON VISITS E.G. TO CLINIC, AIRPORT, RAILWAY STATION, SHOPPING, TEMPLE ETC.
TECHNOLOGY IS DRAMATICALLY IMPROVING THE CARE OF SENIOR CITIZENS. OUR EFFORTS WOULD BE TO IMPROVE A RESIDENT’S QUALITY OF LIFE BY GIVING THEM CONTROL OVER THEIR PHYSICAL ENVIRONMENT AND GENERATING DATA THAT CAN HELP CAREGIVERS PREDICT CARE NEEDS. THE TECHNOLOGIES INCLUDE RESIDENT-MONITORING SYSTEMS THAT USE BRACELETS WITH RADIO FREQUENCY IDENTIFICATION (RFID) CHIPS AND EXERCISE EQUIPMENT TO GIVE STAFF INSIGHTS INTO RESIDENT HEALTH AND EVEN SLEEP PATTERNS. WOULD YOU BE INTERESTED IN AVAILING AND USING THE APPS AND DEVICES?
ARE YOU AWARE ABOUT SOME SENIOR CITIZEN WHO WOULD BE REQUIRING / WAITING TO MOVE IN TO A SENIOR LIVING FACILITY? (PLEASE SHARE THEIR NAME AND EMAIL IF POSSIBLE)
Your answer
THANK YOU FOR BEING PART OF THIS SURVEY TO UNDERSTAND THE AWARENESS AND ACCEPTANCE OF SENIOR LIVING FACILITY. WE WILL BE GAINING YOUR THOUGHTS AND OPINIONS IN ORDER TO SERVE YOU BETTER IN FUTURE. 🙂PLEASE FEEL FREE TO CONTACT US FOR ANY ADDITIONAL INFORMATION REGARDING OUR PRODUCTS AND SERVICES.
ASHA SENIOR LIVING
1800-102-8313/ +91-9633959632
www.ashacare.in / info@ashacare.in
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