Senior Living Satisfaction Survey

Senior Living Satisfaction Survey — Form Fields

This surveys template includes 9 fields. Assess resident satisfaction with senior living community services, activities, staff, and overall quality of life. Free to customize and use on ZenBuild.

• Type of senior living (dropdown selection, required) — options: Independent living, Assisted living, Memory care, Skilled nursing, Continuing care retirement community
• Length of residency (dropdown selection, required) — options: Less than 6 months, 6-12 months, 1-2 years, 3-5 years, 5+ years
• Overall satisfaction with your community (rating, required)
• Quality of meals and dining experience (rating, required)
• Staff friendliness and responsiveness (rating, required)
• Activity programming and social opportunities (rating, required)
• Do you feel your privacy and dignity are respected? (multiple choice, required) — options: Always, Usually, Sometimes, Rarely, Never
• Areas you would like to see improved (checkboxes, optional) — options: Dining options, Activities, Outdoor spaces, Medical care access, Transportation, Communication, Cleanliness
• Additional comments or suggestions (long text, optional)