Meadow Peak Assisted Living Center Lifestyle Survey

Greetings! We're looking for YOUR feedback to help us improve and add more value to your time with us here at Meadow Peak. This feedback form is anonymous. Thank you for taking the time to tell us how we can make your life even better here in our Meadow Peak Community.

  • We'll start by asking you a few questions about you.

  • Then we'll ask you to rate several potential activities and events.

  • Lastly, we'll ask you for some feedback about your life here with us at Meadow Peak.

We'll use your feedback to consider our events and calendar planning so that we offer you a schedule of things you are EXCITED about here at Meadow Peak!

Which currently applies to you?

How long have you been at Meadow Peak?

What is your gender?

How often do you participate in Meadow Peak activities?

Rate the following potential activity based on how interested you are in it from 1 to 5:

Daily Matinee Movie

1 = not interested at all. Would not likely participate.

5 = very interested, would likely participate.

Rate the following potential activity based on how interested you are in it from 1 to 5:

Musicals as part of a Daily Theater Schedule

1 = not interested at all. Would not likely participate.

5 = very interested, would likely participate.

Rate the following potential activity based on how interested you are in it from 1 to 5:

Romantic Comedy Movies as part of a Daily Theater Schedule

1 = not interested at all. Would not likely participate.

5 = very interested, would likely participate.

Rate the following potential activity based on how interested you are in it from 1 to 5:

Classic American Movies as part of a Daily Theater Schedule

1 = not interested at all. Would not likely participate.

5 = very interested, would likely participate.

Rate the following potential activity based on how interested you are in it from 1 to 5:

World War 2 / Military Movies as part of a Daily Theater Schedule

1 = not interested at all. Would not likely participate.

5 = very interested, would likely participate.

Rate the following potential activity based on how interested you are in it from 1 to 5:

Documentaries as part of a Daily Theater Schedule

1 = not interested at all. Would not likely participate.

5 = very interested, would likely participate.

Which of the following physical activities would you be interested in participating in at least two or more times each month?

We would attempt to make every accommodation for any physical limitations you might have including: walkers, wheelchairs, etc.

Please select all that you might be interested in:

Which, if any, of the following sports would you be interested in watching together and even potentially participating in "brackets" or a "pool"?

Check all that apply.

Tell us how interested you'd be in:

Visiting pets and animals

Rate the following potential activity based on how interested you are in it from 1 to 5:

1 = not interested at all. Would not likely participate. 5 = very interested, would likely participate.

Tell us how interested you'd be in:

Beauty Tips, Pampering, Spa Experiences, Self-Care, Learning about Self-Care

Rate the following potential activity based on how interested you are in it from 1 to 5:

1 = not interested at all. Would not likely participate. 5 = very interested, would likely participate.

Tell us how interested you'd be in:

Regular & Recurring Craft Classes, DIY Projects, and Making Seasonal Decorations

Rate the following potential activity based on how interested you are in it from 1 to 5:

1 = not interested at all. Would not likely participate. 5 = very interested, would likely participate.

Tell us how interested you'd be in:

Jewelry Making Classes

Rate the following potential activity based on how interested you are in it from 1 to 5:

1 = not interested at all. Would not likely participate. 5 = very interested, would likely participate.

Tell us how interested you'd be in:

Simple, Healthy Snack Ideas: Seasonal Treats to Make & Share

Rate the following potential activity based on how interested you are in it from 1 to 5:

1 = not interested at all. Would not likely participate. 5 = very interested, would likely participate.

Tell us how interested you'd be in:

New Food & Dining Experiences: Local Eateries, New Cultural Foods

Rate the following potential activity based on how interested you are in it from 1 to 5:

1 = not interested at all. Would not likely participate. 5 = very interested, would likely participate.

Tell us how interested you'd be in:

Plant Club: Caring for & Enjoying Greenery in Indoor Spaces

Rate the following potential activity based on how interested you are in it from 1 to 5:

1 = not interested at all. Would not likely participate. 5 = very interested, would likely participate.

Tell us how interested you'd be in:

Seasonal Gardening Group | Indoor Herb Gardens

Rate the following potential activity based on how interested you are in it from 1 to 5:

1 = not interested at all. Would not likely participate. 5 = very interested, would likely participate.

Tell us how interested you'd be in:

Participating in Music: Singing, Playing Instruments, Choir

Rate the following potential activity based on how interested you are in it from 1 to 5:

1 = not interested at all. Would not likely participate. 5 = very interested, would likely participate.

Do you sing or play an instrument?

If yes, tell us about it:

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Tell us how interested you'd be in:

Learning more about guns, from military and / or first responder personnel, and / or hunting

Rate the following potential activity based on how interested you are in it from 1 to 5:

1 = not interested at all. Would not likely participate. 5 = very interested, would likely participate.

Which, if any, of the following GAMES are you interested in?

Check all that apply.

Tell us which games you like most. List board games, card games, and any video games:

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Which, if any, of the following SOCIAL ACTIVITIES would you like to see more of and participate in?

Check all that apply.

Which, if any, of the following LOCAL EVENTS are you interested in?

Check all that apply.

Which, if any, of the following STORYTELLING ACTIVITIES are you interested in?

Check all that apply.

Would YOU be willing to lead an activity or club regularly at Meadow Peak if we helped you obtain the needed supplies and organized your activities?

Tell us:

What are your favorite activities currently at Meadow Peak?

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Tell us:

What do you think we're doing well at Meadow Peak?

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We've asked you to rate a lot of potential activities.

Now will you please tell US what kinds of things YOU would like to see added here at Meadow Peak?

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Are you comfortable here with us at Meadow Peak?

What are some things we could do to make your life here in our community even better? Feel free to be specific: do you have the things you need to help make your life comfortable, pleasant, safe, and enjoyable?

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Is there any additional feedback you would like to leave for us? We'd love to hear from you!

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