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Senior Living Resident Satisfaction Survey

A short, large-print-friendly survey for residents of independent living, assisted living and memory care communities. It covers staff, care, meals, activities, safety and whether residents would recommend the community, and an AI follow-up asks about one change that would make daily life better.

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Senior Living Resident Satisfaction Survey

Thank you for sharing your thoughts about life in our community. There are no right or wrong answers, and you can skip anything. It takes about 5 minutes.

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Sample questions

A preview of what’s in the template. Every question is editable before you launch.

6 questions · ~5 min
Message

Thank you for sharing your thoughts about life in our community. There are no right or wrong answers, and you can skip anything. It takes about 5 minutes.

Q01
Multiple ChoiceRequired

Which part of our community do you live in?

  • Independent living
  • Assisted living
  • Memory care
  • Skilled nursing or rehabilitation
  • Not sure
Q02
MatrixRequired

How would you rate each of these?

6 rows × 5 columns
  • How staff treat you
  • Getting help when you need it
  • Meals and dining
  • Activities and things to do
  • Cleanliness of your home and shared spaces
  • +1 more
Columns: Poor · Fair · Good · Very good · Excellent
Q03
Opinion ScaleRequired

How likely are you to recommend this community to a friend or family member who needs it?

Scale: 0 – 10
Min:Not at all likelyMax:Extremely likely
Q04
RankingRequired

Which of these matter most to you? Put the most important first.

  1. Kind, familiar staff
  2. Good food
  3. Things to do and people to see
  4. A clean, comfortable home
  5. Quick help when I call
  6. Staying independent
Drag to rank
Q05
AI Interview

Ask the resident about one ordinary day here: what they look forward to and what is harder than it should be. Anchor on the lowest-rated area from their ratings and ask for a recent example. Keep questions short and one at a time, and never ask about diagnoses or medications.

Q06
Multiple Choice

How long have you lived here?

  • Less than 6 months
  • 6 months to 2 years
  • More than 2 years
  • Prefer not to say
Message

Thank you. Your answers are read by our leadership team and help decide what we change first.

What’s included

  • AI follow-ups

    Adaptive probes on open-ended answers that pull out detail a static form would miss.

  • Attention checks

    Built-in safeguards against rushed answers and low-quality respondents.

  • AI-drafted copy

    Wording, ordering, and branching written by the AI — tuned to your research goal.

  • Auto report

    Themes, quotes, and a plain-English summary write themselves once responses come in.

Why this template

What this template is built to do — we found no directly comparable template from other survey tools to review.

What sets it apart

  • An AI follow-up asks for a real example, in plain short questions a resident can answer at their own pace
  • A recommend score you can track quarter to quarter
  • Residents rank what matters most, so you know which fix comes first

Frequently asked questions

What questions are in the “Senior Living Resident Satisfaction Survey” template?

The template includes 6 ready-to-use questions, starting with: “Which part of our community do you live in?” · “How would you rate each of these?” · “How likely are you to recommend this community to a friend or family member who needs it?”. The full set is previewed above, and every question is editable.

How long does this survey take to complete?

Respondents typically finish the 6 questions in about 5 minutes.

Can I customize this template?

Yes — every question, answer option, and the ordering is editable before you launch. You can add or remove questions, or ask the AI editor to rework the survey around your research goal.

Is this template free to use?

Yes. Open it in the editor and start customizing right away — no account required to try it, and the free plan covers launching your survey.

Ready to launch?

Open this template in the editor. Every part is yours to change before the first respondent sees it.

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