Concordia is a community designed to help residents make the most of each day with wellness programming, social events, volunteer opportunities and more. We offer you control over your future and peace of mind, with financial options that take into consideration both current and future health needs. With our Life Care plan, residents have the comfort of knowing that they will have guaranteed access to assisted living, skilled nursing, rehabilitation, memory care and long-term care – all at a reasonable, predictable cost. But today, we’d like to learn about your goals and your plans for the future. Please take a few minutes to complete the survey below.Planning1. Have you downsized recently? (Check all that apply.)* Began downsizing Moved from larger home to apartment Have considered downsizing but have not started Have not considered downsizing 2. Are you currently considering any specific retirement communities for yourself?*YesNoIf Yes, please list which ones3. When do you anticipate moving?*Less than 1 year1-2 years3-5 yearsUndetermined4. What do you believe is the ideal age to move to a retirement community?*Under 7071–7475-7980-8485 or older5. How involved is your family with your retirement planning?*My family is fully aware of my retirement plansNo discussions have been hadNo family to involve6. What are the most important services a retirement community could offer? (Check all that apply.)* Health and wellness programming Engaging activities program Guaranteed on-site access to healthcare Multiple levels of care on one campus Access to transportation services Assistance with the move process Secure and safe environment 7. What aspects of community living would appeal to you? (Check all that apply.)* Relief from home maintenance Companionship and social contact Recreation and leisure opportunities Wellness programming Transportation services Predictable living and health expenses Personal safety Prepared meals/dining services Other If Other, please indicate8. Why would you not move into a retirement community? (Check all that apply.)* Services don't appeal to my lifestyle Not the right residential living options I don't think I need the support of a community I don't believe it is worth the expense I see a community as institutional I am not social, I prefer to be alone 9. Does your retirement planning include a long-term care policy?*YesNo Lifestyle1. What is your favorite form of recreation? (Check all that apply.)* Golf, tennis, swimming or other outdoor activities Fitness classes/going to the gym Visiting museums or other cultural attractions Educational opportunities Games Hobbies or crafts Other If other, please indicate2. What kinds of entertainment do you like? (Check all that apply.)* Movies and TV Theater and dance Musical performances Sporting events Reading, art of other personal activities Other If Other, please indicate3. How often do you take day trips or vacations?*At least once every three monthsEvery six monthsOnce a yearEvery 2-3 yearsAlmost never4. Your ideal day includes which of the following? (Check all that apply.)* Activities with friends Trips to attractions or events Engaging in your favorite hobby or spiritual services Visiting the gym Quite time alone Other If other, please indicate5. If you were to live in a community, what living space might fit your lifestyle?*One bedroom apartmentTwo bedroom apartmentFree-standing patio homeStudio apartment with assisted living support Dining1. How important are dining and cuisine to you?*Not verySomewhatImportantExtremely important2. What is your preferred dining style?*Restaurant-style with full serviceBuffet-style diningInformal café-styleHome cooked mealsTake-out3. How often do you dine at a restaurant?*RarelyOnce a week3-5 times a weekOnce a day Please tell us more about you.I would move to a retirement community if or when:What do you consider your greatest achievement?What would you say is your motto?What was the happiest time of your life? As a thank you for completing this survey, Concordia would like to invite you and a friend to a special luncheon hosted by our COO, Danny Eischen. You are also eligible for complimentary real estate evaluation and long-term care policy review. If you would like to take advantage of one or all of these opportunities, please provide your contact information below. A representative from Concordia will contact you to schedule.Name* First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Gender:MaleFemaleI currently live in:Single family homeApartment/CondoWith a family memberOpt-In* Please contact me with additional information about Concordia I’d like to be contacted to schedule a tour. Please remove me from your mailing list. Do you have a friend or family member who might want more information about Concordia? Yes (Please provide their contact information below.) 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