The room and community was clean.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The transfer of medical records, medications, and prescription information was smooth.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The staff was friendly and attentive.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
On a scale of 1 to 10, how likely are you to recommend Our Care Community to a friend or colleague?
0 (Not at all likely)
1
2
3
4
5
6
7
8
9
10 (Extremely likely)
Is there any additional context you would like to share?
Open text response.
Please check the reason(s) for moving out. Select all that apply:
Medical reasons
Financial reasons
Desire for more independence
Family decision
Dissatisfaction with care/services
Moving to a different facility
Other (please specify in the above question)
