Thank you for participating in the Field of Streams Senior Living survey.  Your participation is valuable in our
planning for the community.

Please rate the importance of each of these amenities to your personal situation. Required fields are marked with an asterisk *

1. Independent living cottage:

a. Cottage with one bedroom*
Not important
Fairly important
Very important
Required
b. Cottage with two bedrooms*
Not important
Fairly important
Very important
Required
c. Cottage with office*
Not important
Fairly important
Very important
Required
d. Cottage with garage*
Not important
Fairly important
Very important
Required
e. Cottage with basement*
Not important
Fairly important
Very important
Required
f. Cottage with private laundry facility*
Not important
Fairly important
Very important
Required
g. Cottage with laundry services provided*
Not important
Fairly important
Very important
Required
h. Cottage with housekeeping services provided*
Not important
Fairly important
Very important
Required

2. Independent living apartment:

a. Studio apartment*
Not important
Fairly important
Very important
Required
b. Apartment with one bedroom*
Not important
Fairly important
Very important
Required
c. Apartment with two bedrooms*
Not important
Fairly important
Very important
Required
d. Apartment with office*
Not important
Fairly important
Very important
Required
e. Apartment with private laundry facility*
Not important
Fairly important
Very important
Required
f. Apartment with shared laundry facility*
Not important
Fairly important
Very important
Required
g. Apartment with laundry services provided*
Not important
Fairly important
Very important
Required
h. Apartment with housekeeping services provided*
Not important
Fairly important
Very important
Required
3. Assisted living facility on premises*
Not important
Fairly important
Very important
Required
4. Skilled nursing facility on premises*
Not important
Fairly important
Very important
Required
5. Hospice on premises*
Not important
Fairly important
Very important
Required
6. Medical doctor and personnel on premises*
Not important
Fairly important
Very important
Required
7. Dentist on premises*
Not important
Fairly important
Very important
Required
8. Clubhouse*
Not important
Fairly important
Very important
Required
9. Health pavillion*
Not important
Fairly important
Very important
Required
10. Gourmet dining*
Not important
Fairly important
Very important
Required
11. On demand dining (24 hour prepared food/drink availability)*
Not important
Fairly important
Very important
Required
12. Private family and or event dining rooms*
Not important
Fairly important
Very important
Required
13. Private conference rooms to meet with professionals*
Not important
Fairly important
Very important
Required
14. Pool and spa*
Not important
Fairly important
Very important
Required
15. Health spa including weight & exercise room*
Not important
Fairly important
Very important
Required
16. Exercise programs*
Not important
Fairly important
Very important
Required
17. Tennis*
Not important
Fairly important
Very important
Required
18. On site golf putting green, chipping and sand trap to putting green*
Not important
Fairly important
Very important
Required
19. Fishing pond*
Not important
Fairly important
Very important
Required
20. Sporting clays and skeet shooting*
Not important
Fairly important
Very important
Required
21. Walking trails*
Not important
Fairly important
Very important
Required
22. Cart trails*
Not important
Fairly important
Very important
Required
23. Recreational group outings*
Not important
Fairly important
Very important
Required
24. Boating and water sports*
Not important
Fairly important
Very important
Required
25. On site bank with ATM*
Not important
Fairly important
Very important
Required
26. On site gift shop*
Not important
Fairly important
Very important
Required
27. On site beauty and barber shop*
Not important
Fairly important
Very important
Required
28. On site financial/investment advisor/Estate Planning*
Not important
Fairly important
Very important
Required
29. Craft and hobby activities*
Not important
Fairly important
Very important
Required
30. Cigar lounge*
Not important
Fairly important
Very important
Required
31. Bar-Sports Center*
Not important
Fairly important
Very important
Required
32. Indoor and outdoor card/chess/checkers/backgammon tables*
Not important
Fairly important
Very important
Required
33. Horseback riding*
Not important
Fairly important
Very important
Required
34. Pool table and billiards*
Not important
Fairly important
Very important
Required
35. Computer and internet room*
Not important
Fairly important
Very important
Required
36. Local transportation to doctors, local shopping and events*
Not important
Fairly important
Very important
Required
37. Housekeeping provided*
Not important
Fairly important
Very important
Required
38. Laundry services provided*
Not important
Fairly important
Very important
Required
39. Private washer and dryer in apartment*
Not important
Fairly important
Very important
Required
40. 24 hour emergency call service*
Not important
Fairly important
Very important
Required
41. Indoor movie and entertainment theater*
Not important
Fairly important
Very important
Required
42. Outdoor movie and entertainment theater*
Not important
Fairly important
Very important
Required
43. Religious services and place of worship*
Not important
Fairly important
Very important
Required
44. Resident flower and vegetable gardening areas*
Not important
Fairly important
Very important
Required
45. Pet training and care giving*
Not important
Fairly important
Very important
Required
Name*
Email Address*
Fields marked with * must be filled in