Assisted Living Satisfaction Survey

1 
2 
3 
4 
  • If you prefer to download and mail back a paper survey, press the button, otherwise continue below

    Download Paper Survey

    Please mail the survey back to the our Home Office at:
    ATTN: Marketing Department
    830 W. Trailcreek Dr.
    Peoria, IL 61614

    In an ongoing effort to provide the best service possible for the tenants we serve, Petersen Health Care is asking you to participate in our Tenant Satisfaction Survey (you do not need to include your name). Your opinion is important to us and we appreciate hearing from you regarding your perception of the work environment, communication, services and quality of services we offer.

    Petersen Health Care is dedicated to providing the highest quality of care and life for our tenants. Thank you for your assistance with this survey. We read each & every response.

    We believe anonymity is important, names are not asked for nor included with the survey.

  • Survey Questions

  • Thinking about your overall experience here, how would you rate the following characteristics of this community?
  • Very GoodGoodAveragePoorVery Poor
  • Very GoodGoodAveragePoorVery Poor
  • Very GoodGoodAveragePoorVery Poor
  • Very GoodGoodAveragePoorVery Poor
  • Very GoodGoodAveragePoorVery Poor
  • Very GoodGoodAveragePoorVery Poor
  • Very GoodGoodAveragePoorVery Poor
  • Very GoodGoodAveragePoorVery Poor
  • Very GoodGoodAveragePoorVery Poor
  • Thinking about your overall experience with community programs, rate each of the items listed below.

    If you have not used or had any experience with one of the items listed, mark “Does Not Apply” as your response to that item.

  • Does Not ApplyVery GoodGoodAveragePoorVery Poor
  • Does Not ApplyVery GoodGoodAveragePoorVery Poor
  • Does Not ApplyVery GoodGoodAveragePoorVery Poor
  • Does Not ApplyVery GoodGoodAveragePoorVery Poor
  • Does Not ApplyVery GoodGoodAveragePoorVery Poor
  • Very SatisfiedSatisfiedNeutralDissatisfiedVery Dissatisfied