We want to know about you.

Lifestyle

What is your favorite form of recreation? (Check all that apply.)*
Golf, tennis, swimming or other outdoor activitiesFitness classes/going to the gymVisiting museums, parks or other cultural attractionsEducational lectures, card/board gamesVolunteeringShoppingWoodworking, art, craftsGardeningFishing, hiking, huntingTravelingOther

Other:

What kinds of entertainment do you like? (Check all that apply.)*
Reading, painting, photographyMovies and TVTheater and dance performancesMusic performances or concertsSporting eventsOther

Other:

How often do you normally travel or vacation?*
—Please choose an option—At least once every three monthsEvery six monthsOnce a yearEvery two to three yearsAlmost never

Your typical day includes which of the following? (Check all that apply.)*
Activities with friends or familyTrips to attractions or eventsVolunteeringEngaging in your favorite hobby or activityVisiting the gym or exercising outdoorsQuiet time aloneOther

Other:

Which living space most fits your lifestyle?*
—Please choose an option—Studio apartment with patioOne-bedroom apartment with patioTwo-bedroom apartment with balconyTwo-bedroom patio home with attached garage and covered front porchOther

Other:

How important to you is chef-prepared dining with a choice between fine dining, casual dining, outdoor dining and delivery service?*
—Please choose an option—Not at all importantSomewhat importantNot very importantVery importantNeutral

Planning

Have you downsized recently?*
—Please choose an option—Moved to a condo/townhouseMoved from larger home to apartmentHave started the processHave considered downsizing but have not started

Are you currently considering any specific senior living options for you or a family member/friend?*
—Please choose an option—YesNo

If “Yes,” please list which ones:

When do you anticipate moving?*
—Please choose an option—Less than one yearOne to two yearsThree to five yearsUndeterminedNever

Why would you move to a retirement community? (Check all that apply.)*
Relief from home maintenanceHousekeeping servicesCompanionship and socializationRecreation and leisure opportunitiesPrepared meals/dining servicesTransportation servicesPeace of mind for myselfPeace of mind for family/childrenHealth and wellness support and programmingTime to do volunteer workOther

Other:

How likely are you to consider moving to an Immanuel Lutheran Retirement Living Community at some point in your life?*
—Please choose an option—Not at all likelyNot very likelySomewhat likelyVery likelyNeutral

Do you plan on remaining in the Kalispell area to retire?*
—Please choose an option—YesNo

Please rate the home features you would most value in your apartment or patio home.*
Contract options including rental:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Granite countertops in kitchens and bathrooms:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
New, stainless steel appliances:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Center bar or kitchen island with seating:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Large windows for maximum light:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Patio or balcony with views:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Hardwood floors in living spaces with new carpet in all bedrooms:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Laundry area with full-size washer and dryer:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Designated parking or garage:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
The option to personally customize my home through cabinet choices, flooring options, colors and countertops:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important

Immanuel Lutheran Communities offer a variety of services and amenities designed to enrich lives and provide a maintenance-free lifestyle with more freedom to do the things you love to do without the hassle and expense of home maintenance.
How important are the following services and amenities to you?*
Convenient location close to accessible roads and highways:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Close to major shopping areas:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Campus walking paths:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Pet friendly:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Multiple dining options with restaurant-style dining:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Fitness center, indoor pool and hot tub:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
On-site concerts and cultural events:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Transportation to off-site activities and appointments:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Clubs, activities and volunteer opportunities including travel clubs, book clubs or writers’ group:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Additional on-site living options if needed (assisted living, memory support, day services for memory care, skilled nursing, rehabilitation):
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Wellness programs to promote staying active and healthy:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Hobby space including art studio, greenhouse, library:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Faith-based services and activities available:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Not-for-profit status to promote continuous reinvestment back into the community:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Additional care options available including assisted living, memory support, skilled nursing and rehabilitation:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important
Intergenerational programs with local schools and youth groups:
—Please choose an option—Not at all importantNot very importantNeutralSomewhat importantVery important

Please tell us more about you.

Which of the following best describes your age?*
—Please choose an option—Less than 70 years of age70 to 74 years of age75 to 80 years of age80 to 85 years of age85 years of age or more

Please indicate your current marital status:*
—Please choose an option—Married/partneredSingleWidowedDivorced/separated

What do you consider your greatest achievement or happiest time in your life?*

What would you say is your personal motto?*

Would you be interested in learning more about this community including what the community has to offer, floor plans, cost and contract options?*
—Please choose an option—YesNo

Please indicate if you would be interested in the following:
Yes, I would like information about this community. Please add me to your mailing list.Yes, please contact me about the special luncheon event.

If you are interested in either of the above, please provide your contact information below:
Name*

Email*

Phone

Street address

City

State

Zip