Assisted Living Survey







Assisted Living Survey
We are pleased to have the opportunity to serve you and are interested in what you have to say about our services. We are committed to providing only the highest quality of care at all of our PHI communities, so your feedback and suggestions are very important to us. Thank you in advance for taking the time to share your opinion.

Stephen Proctor,
PHI President & CEO


Are you a resident?
Yes    No   

Are you a friend or family member of a resident?
Yes    No   


Please rate the questions below using a (1) one through (5) five scale
Poor - 1 or 2 | Fair - 3 | Excellent - 4 or 5 | Not Applicable - N/A
Were your financial options and original contract explained to your satisfaction?
1    2    3    4    5    N/A
Is your apartment or room well maintained?
1    2    3    4    5    N/A
Are housekeeping services satisfactory?
1    2    3    4    5    N/A
Are the staff members responsive to your questions and concerns?
1    2    3    4    5    N/A
Are you treated with dignity and respect?
1    2    3    4    5    N/A
How would you rate the overall quality of the health care services?
1    2    3    4    5    N/A
Are your monthly bills accurate and on time?
1    2    3    4    5    N/A
Are you satisfied with activity and fitness programs?
1    2    3    4    5    N/A
Are you provided with a safe and secure environment?
1    2    3    4    5    N/A
Are you satisfied with the dining services?
1    2    3    4    5    N/A
Are you satisfied with the availability of spiritual services?
1    2    3    4    5    N/A
Is sufficient parking available for you and your guests?
1    2    3    4    5    N/A
On a scale of 1 to 5 where 1 is "definitely would not" and 5 is "definitely would", how likely would you be to recommend this facility to a family member or friend?
1    2    3    4    5    N/A
Why do you say that?


Additional Comments:


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