AL Tenant Satisfaction Survey

1. Default Section

• Please answer each question below by checking the box that best indicates your opinion.
• If a question does not apply to you , please check the Not Applicable (N/A) box on the far right.
• There is space provided for your comments. If you need more space, please use the back of the questionnaire.

Question Title

* 1. Please select what program you reside in:

Liberty Place Assisted Living

Freedom Place Assisted Living

Question Title

* 2. Activities

	Yes, Always	Yes, Sometimes	No, Hardly Ever	No, Never	N/A
1. Do the activities here suit your abilities? (e.g. vision, hearing, mobility)	1. Do the activities here suit your abilities? (e.g. vision, hearing, mobility) Yes, Always	1. Do the activities here suit your abilities? (e.g. vision, hearing, mobility) Yes, Sometimes	1. Do the activities here suit your abilities? (e.g. vision, hearing, mobility) No, Hardly Ever	1. Do the activities here suit your abilities? (e.g. vision, hearing, mobility) No, Never	1. Do the activities here suit your abilities? (e.g. vision, hearing, mobility) N/A
2. Is there enough variety in the activities offered here?	2. Is there enough variety in the activities offered here? Yes, Always	2. Is there enough variety in the activities offered here? Yes, Sometimes	2. Is there enough variety in the activities offered here? No, Hardly Ever	2. Is there enough variety in the activities offered here? No, Never	2. Is there enough variety in the activities offered here? N/A
3. Can you make suggestions regarding the types of activities offered here?	3. Can you make suggestions regarding the types of activities offered here? Yes, Always	3. Can you make suggestions regarding the types of activities offered here? Yes, Sometimes	3. Can you make suggestions regarding the types of activities offered here? No, Hardly Ever	3. Can you make suggestions regarding the types of activities offered here? No, Never	3. Can you make suggestions regarding the types of activities offered here? N/A
4. Are bus trips offered here? (e.g. to shopping mall, community activities etc)	4. Are bus trips offered here? (e.g. to shopping mall, community activities etc) Yes, Always	4. Are bus trips offered here? (e.g. to shopping mall, community activities etc) Yes, Sometimes	4. Are bus trips offered here? (e.g. to shopping mall, community activities etc) No, Hardly Ever	4. Are bus trips offered here? (e.g. to shopping mall, community activities etc) No, Never	4. Are bus trips offered here? (e.g. to shopping mall, community activities etc) N/A

Is there anything else you would like to tell us about the activities?

Question Title

* 3. Choice

	Yes, Always	Yes, Sometimes	No, Hardly Ever	No, Never	N/A
6. Do you have choice in establishing your daily routine?	6. Do you have choice in establishing your daily routine? Yes, Always	6. Do you have choice in establishing your daily routine? Yes, Sometimes	6. Do you have choice in establishing your daily routine? No, Hardly Ever	6. Do you have choice in establishing your daily routine? No, Never	6. Do you have choice in establishing your daily routine? N/A
7. Do the staff let you do the things you want to do for yourself?	7. Do the staff let you do the things you want to do for yourself? Yes, Always	7. Do the staff let you do the things you want to do for yourself? Yes, Sometimes	7. Do the staff let you do the things you want to do for yourself? No, Hardly Ever	7. Do the staff let you do the things you want to do for yourself? No, Never	7. Do the staff let you do the things you want to do for yourself? N/A
8. Are the rules here reasonable?	8. Are the rules here reasonable? Yes, Always	8. Are the rules here reasonable? Yes, Sometimes	8. Are the rules here reasonable? No, Hardly Ever	8. Are the rules here reasonable? No, Never	8. Are the rules here reasonable? N/A

Is there anything else you would like to tell us about resident choice?

Question Title

* 4. Care and Services

	Yes, Always	Yes, Sometimes	No, Hardly Ever	No, Never	N/A
9. Are snacks and drinks available to you?	9. Are snacks and drinks available to you? Yes, Always	9. Are snacks and drinks available to you? Yes, Sometimes	9. Are snacks and drinks available to you? No, Hardly Ever	9. Are snacks and drinks available to you? No, Never	9. Are snacks and drinks available to you? N/A
10. Do the staff explain your care and services to you?	10. Do the staff explain your care and services to you? Yes, Always	10. Do the staff explain your care and services to you? Yes, Sometimes	10. Do the staff explain your care and services to you? No, Hardly Ever	10. Do the staff explain your care and services to you? No, Never	10. Do the staff explain your care and services to you? N/A
11. Do you get your medications on time?	11. Do you get your medications on time? Yes, Always	11. Do you get your medications on time? Yes, Sometimes	11. Do you get your medications on time? No, Hardly Ever	11. Do you get your medications on time? No, Never	11. Do you get your medications on time? N/A
12. Do the staff who take care of you know what you like and don’t like?	12. Do the staff who take care of you know what you like and don’t like? Yes, Always	12. Do the staff who take care of you know what you like and don’t like? Yes, Sometimes	12. Do the staff who take care of you know what you like and don’t like? No, Hardly Ever	12. Do the staff who take care of you know what you like and don’t like? No, Never	12. Do the staff who take care of you know what you like and don’t like? N/A

Is there anything else you would like to tell us about the personal care and hospitality services you receive?

Question Title

* 5. Staff Relations

	Yes, Always	Yes, Sometimes	No, Hardly Ever	No, Never	N/A
13. Are the staff courteous to you?	13. Are the staff courteous to you? Yes, Always	13. Are the staff courteous to you? Yes, Sometimes	13. Are the staff courteous to you? No, Hardly Ever	13. Are the staff courteous to you? No, Never	13. Are the staff courteous to you? N/A
14. Can you depend on the staff? (e.g. do staff do what they say they will do, follow through?)	14. Can you depend on the staff? (e.g. do staff do what they say they will do, follow through?) Yes, Always	14. Can you depend on the staff? (e.g. do staff do what they say they will do, follow through?) Yes, Sometimes	14. Can you depend on the staff? (e.g. do staff do what they say they will do, follow through?) No, Hardly Ever	14. Can you depend on the staff? (e.g. do staff do what they say they will do, follow through?) No, Never	14. Can you depend on the staff? (e.g. do staff do what they say they will do, follow through?) N/A
15. Are the staff here friendly to you?	15. Are the staff here friendly to you? Yes, Always	15. Are the staff here friendly to you? Yes, Sometimes	15. Are the staff here friendly to you? No, Hardly Ever	15. Are the staff here friendly to you? No, Never	15. Are the staff here friendly to you? N/A
16. Do the staff treat you with respect?	16. Do the staff treat you with respect? Yes, Always	16. Do the staff treat you with respect? Yes, Sometimes	16. Do the staff treat you with respect? No, Hardly Ever	16. Do the staff treat you with respect? No, Never	16. Do the staff treat you with respect? N/A

Is there anything else you would like to tell us about staff relations?

Question Title

* 6. Staff Responsiveness

	Yes, Always	Yes, Sometimes	No, Hardly Ever	No, Never	N/A
17. During the week, are staff available to help you if you need it?	17. During the week, are staff available to help you if you need it? Yes, Always	17. During the week, are staff available to help you if you need it? Yes, Sometimes	17. During the week, are staff available to help you if you need it? No, Hardly Ever	17. During the week, are staff available to help you if you need it? No, Never	17. During the week, are staff available to help you if you need it? N/A
18. During the weekend, are staff available to help you if you need it?	18. During the weekend, are staff available to help you if you need it? Yes, Always	18. During the weekend, are staff available to help you if you need it? Yes, Sometimes	18. During the weekend, are staff available to help you if you need it? No, Hardly Ever	18. During the weekend, are staff available to help you if you need it? No, Never	18. During the weekend, are staff available to help you if you need it? N/A
19. During the evening and night, are staff available to help you if you need it?	19. During the evening and night, are staff available to help you if you need it? Yes, Always	19. During the evening and night, are staff available to help you if you need it? Yes, Sometimes	19. During the evening and night, are staff available to help you if you need it? No, Hardly Ever	19. During the evening and night, are staff available to help you if you need it? No, Never	19. During the evening and night, are staff available to help you if you need it? N/A
20. Do you feel confident that the staff know how to do their job well?	20. Do you feel confident that the staff know how to do their job well? Yes, Always	20. Do you feel confident that the staff know how to do their job well? Yes, Sometimes	20. Do you feel confident that the staff know how to do their job well? No, Hardly Ever	20. Do you feel confident that the staff know how to do their job well? No, Never	20. Do you feel confident that the staff know how to do their job well? N/A

Is there anything else you would like to tell us about staff responsiveness?

Question Title

* 7. Communication

	Yes, Always	Yes, Sometimes	No, Hardly Ever	No, Never	N/A
21. Are the people in charge available to talk with you? (e.g. managers, supervisors, administration)	21. Are the people in charge available to talk with you? (e.g. managers, supervisors, administration) Yes, Always	21. Are the people in charge available to talk with you? (e.g. managers, supervisors, administration) Yes, Sometimes	21. Are the people in charge available to talk with you? (e.g. managers, supervisors, administration) No, Hardly Ever	21. Are the people in charge available to talk with you? (e.g. managers, supervisors, administration) No, Never	21. Are the people in charge available to talk with you? (e.g. managers, supervisors, administration) N/A
22. Do the people in charge treat you with respect?	22. Do the people in charge treat you with respect? Yes, Always	22. Do the people in charge treat you with respect? Yes, Sometimes	22. Do the people in charge treat you with respect? No, Hardly Ever	22. Do the people in charge treat you with respect? No, Never	22. Do the people in charge treat you with respect? N/A
23. Would you feel comfortable making a complaint (to the people in charge)?	23. Would you feel comfortable making a complaint (to the people in charge)? Yes, Always	23. Would you feel comfortable making a complaint (to the people in charge)? Yes, Sometimes	23. Would you feel comfortable making a complaint (to the people in charge)? No, Hardly Ever	23. Would you feel comfortable making a complaint (to the people in charge)? No, Never	23. Would you feel comfortable making a complaint (to the people in charge)? N/A
24. Do you know who to go to here when you have a problem?	24. Do you know who to go to here when you have a problem? Yes, Always	24. Do you know who to go to here when you have a problem? Yes, Sometimes	24. Do you know who to go to here when you have a problem? No, Hardly Ever	24. Do you know who to go to here when you have a problem? No, Never	24. Do you know who to go to here when you have a problem? N/A
25. Do your problems get taken care of? (e.g. are you problems addressed?)	25. Do your problems get taken care of? (e.g. are you problems addressed?) Yes, Always	25. Do your problems get taken care of? (e.g. are you problems addressed?) Yes, Sometimes	25. Do your problems get taken care of? (e.g. are you problems addressed?) No, Hardly Ever	25. Do your problems get taken care of? (e.g. are you problems addressed?) No, Never	25. Do your problems get taken care of? (e.g. are you problems addressed?) N/A

Is there anything else you would like to tell us about communications?

Question Title

* 8. Meals and Dining

	Yes, Always	Yes, Sometimes	No, Hardly Ever	No, Never	N/A
26. Is there enough variety in the food served?	26. Is there enough variety in the food served? Yes, Always	26. Is there enough variety in the food served? Yes, Sometimes	26. Is there enough variety in the food served? No, Hardly Ever	26. Is there enough variety in the food served? No, Never	26. Is there enough variety in the food served? N/A
27. At mealtimes is the alternative meal option suitable?	27. At mealtimes is the alternative meal option suitable? Yes, Always	27. At mealtimes is the alternative meal option suitable? Yes, Sometimes	27. At mealtimes is the alternative meal option suitable? No, Hardly Ever	27. At mealtimes is the alternative meal option suitable? No, Never	27. At mealtimes is the alternative meal option suitable? N/A
28. Is the food tasty?	28. Is the food tasty? Yes, Always	28. Is the food tasty? Yes, Sometimes	28. Is the food tasty? No, Hardly Ever	28. Is the food tasty? No, Never	28. Is the food tasty? N/A
29. Are the portions the right amount for you?	29. Are the portions the right amount for you? Yes, Always	29. Are the portions the right amount for you? Yes, Sometimes	29. Are the portions the right amount for you? No, Hardly Ever	29. Are the portions the right amount for you? No, Never	29. Are the portions the right amount for you? N/A
30. Is your food served at the right temperature (cold foods cold, hot foods hot)?	30. Is your food served at the right temperature (cold foods cold, hot foods hot)? Yes, Always	30. Is your food served at the right temperature (cold foods cold, hot foods hot)? Yes, Sometimes	30. Is your food served at the right temperature (cold foods cold, hot foods hot)? No, Hardly Ever	30. Is your food served at the right temperature (cold foods cold, hot foods hot)? No, Never	30. Is your food served at the right temperature (cold foods cold, hot foods hot)? N/A
31. Are your special dietary needs accommodated? (e.g. allergies, intolerances, diabetic, vegetarian, kosher)	31. Are your special dietary needs accommodated? (e.g. allergies, intolerances, diabetic, vegetarian, kosher) Yes, Always	31. Are your special dietary needs accommodated? (e.g. allergies, intolerances, diabetic, vegetarian, kosher) Yes, Sometimes	31. Are your special dietary needs accommodated? (e.g. allergies, intolerances, diabetic, vegetarian, kosher) No, Hardly Ever	31. Are your special dietary needs accommodated? (e.g. allergies, intolerances, diabetic, vegetarian, kosher) No, Never	31. Are your special dietary needs accommodated? (e.g. allergies, intolerances, diabetic, vegetarian, kosher) N/A

Is there anything else you would like to tell us about meals and dining?

Question Title

* 9. Housekeeping

	Yes, Always	Yes, Sometimes	No, Hardly Ever	No, Never	N/A
32. Do you get your flat linen (sheets and towels) back from the laundry?	32. Do you get your flat linen (sheets and towels) back from the laundry? Yes, Always	32. Do you get your flat linen (sheets and towels) back from the laundry? Yes, Sometimes	32. Do you get your flat linen (sheets and towels) back from the laundry? No, Hardly Ever	32. Do you get your flat linen (sheets and towels) back from the laundry? No, Never	32. Do you get your flat linen (sheets and towels) back from the laundry? N/A
33. Does your flat linen (sheets and towels) come back from the laundry in good condition?	33. Does your flat linen (sheets and towels) come back from the laundry in good condition? Yes, Always	33. Does your flat linen (sheets and towels) come back from the laundry in good condition? Yes, Sometimes	33. Does your flat linen (sheets and towels) come back from the laundry in good condition? No, Hardly Ever	33. Does your flat linen (sheets and towels) come back from the laundry in good condition? No, Never	33. Does your flat linen (sheets and towels) come back from the laundry in good condition? N/A

Is there anything else you would like to tell us about laundry services?

Question Title

* 10. Building Environment

	Yes, Always	Yes, Sometimes	No, Hardly Ever	No, Never	N/A
34. Are the building and grounds well maintained?	34. Are the building and grounds well maintained? Yes, Always	34. Are the building and grounds well maintained? Yes, Sometimes	34. Are the building and grounds well maintained? No, Hardly Ever	34. Are the building and grounds well maintained? No, Never	34. Are the building and grounds well maintained? N/A
35. Can you easily access outside walkways and gardens?	35. Can you easily access outside walkways and gardens? Yes, Always	35. Can you easily access outside walkways and gardens? Yes, Sometimes	35. Can you easily access outside walkways and gardens? No, Hardly Ever	35. Can you easily access outside walkways and gardens? No, Never	35. Can you easily access outside walkways and gardens? N/A
36. Is access to the building secure?	36. Is access to the building secure? Yes, Always	36. Is access to the building secure? Yes, Sometimes	36. Is access to the building secure? No, Hardly Ever	36. Is access to the building secure? No, Never	36. Is access to the building secure? N/A
37. Are the common areas kept clean enough for you? (e.g. lobby, dining area, lounge, hallways)	37. Are the common areas kept clean enough for you? (e.g. lobby, dining area, lounge, hallways) Yes, Always	37. Are the common areas kept clean enough for you? (e.g. lobby, dining area, lounge, hallways) Yes, Sometimes	37. Are the common areas kept clean enough for you? (e.g. lobby, dining area, lounge, hallways) No, Hardly Ever	37. Are the common areas kept clean enough for you? (e.g. lobby, dining area, lounge, hallways) No, Never	37. Are the common areas kept clean enough for you? (e.g. lobby, dining area, lounge, hallways) N/A
38. Are you able to get to the local shops?	38. Are you able to get to the local shops? Yes, Always	38. Are you able to get to the local shops? Yes, Sometimes	38. Are you able to get to the local shops? No, Hardly Ever	38. Are you able to get to the local shops? No, Never	38. Are you able to get to the local shops? N/A

Is there anything else you would like to tell us about the building environment?

Question Title

* 11. Resident Environment

	Yes, Always	Yes, Sometimes	No, Hardly Ever	No, Never	N/A
39. Do staff respect your privacy ?	39. Do staff respect your privacy ? Yes, Always	39. Do staff respect your privacy ? Yes, Sometimes	39. Do staff respect your privacy ? No, Hardly Ever	39. Do staff respect your privacy ? No, Never	39. Do staff respect your privacy ? N/A
40. Do you feel safe here?	40. Do you feel safe here? Yes, Always	40. Do you feel safe here? Yes, Sometimes	40. Do you feel safe here? No, Hardly Ever	40. Do you feel safe here? No, Never	40. Do you feel safe here? N/A
41. Are your belongings safe here?	41. Are your belongings safe here? Yes, Always	41. Are your belongings safe here? Yes, Sometimes	41. Are your belongings safe here? No, Hardly Ever	41. Are your belongings safe here? No, Never	41. Are your belongings safe here? N/A
42. Is your suite kept clean enough for you?	42. Is your suite kept clean enough for you? Yes, Always	42. Is your suite kept clean enough for you? Yes, Sometimes	42. Is your suite kept clean enough for you? No, Hardly Ever	42. Is your suite kept clean enough for you? No, Never	42. Is your suite kept clean enough for you? N/A
43. Can you keep your suite at the temperature you prefer?	43. Can you keep your suite at the temperature you prefer? Yes, Always	43. Can you keep your suite at the temperature you prefer? Yes, Sometimes	43. Can you keep your suite at the temperature you prefer? No, Hardly Ever	43. Can you keep your suite at the temperature you prefer? No, Never	43. Can you keep your suite at the temperature you prefer? N/A

Is there anything else you would like to tell us about the resident environment?

Question Title

* 12. Additional Questions

	Yes, Always	Yes, Sometimes	No, Hardly Ever	No, Never	N/A
42. Do you feel comfortable here?	42. Do you feel comfortable here? Yes, Always	42. Do you feel comfortable here? Yes, Sometimes	42. Do you feel comfortable here? No, Hardly Ever	42. Do you feel comfortable here? No, Never	42. Do you feel comfortable here? N/A
43. Overall, do you like living here?	43. Overall, do you like living here? Yes, Always	43. Overall, do you like living here? Yes, Sometimes	43. Overall, do you like living here? No, Hardly Ever	43. Overall, do you like living here? No, Never	43. Overall, do you like living here? N/A
44. would you recommend this place to a family member or friend?	44. would you recommend this place to a family member or friend? Yes, Always	44. would you recommend this place to a family member or friend? Yes, Sometimes	44. would you recommend this place to a family member or friend? No, Hardly Ever	44. would you recommend this place to a family member or friend? No, Never	44. would you recommend this place to a family member or friend? N/A
45. Overall, are you satisfied with the quality of care you receive here?	45. Overall, are you satisfied with the quality of care you receive here? Yes, Always	45. Overall, are you satisfied with the quality of care you receive here? Yes, Sometimes	45. Overall, are you satisfied with the quality of care you receive here? No, Hardly Ever	45. Overall, are you satisfied with the quality of care you receive here? No, Never	45. Overall, are you satisfied with the quality of care you receive here? N/A
46. Overall, are you satisfied with the quality of hospitality services you receive here?	46. Overall, are you satisfied with the quality of hospitality services you receive here? Yes, Always	46. Overall, are you satisfied with the quality of hospitality services you receive here? Yes, Sometimes	46. Overall, are you satisfied with the quality of hospitality services you receive here? No, Hardly Ever	46. Overall, are you satisfied with the quality of hospitality services you receive here? No, Never	46. Overall, are you satisfied with the quality of hospitality services you receive here? N/A

Is there anything that we have not asked you that you would like to tell us about?

What changes would you like to see in your residence to improve your quality of life?