Best of Kentuckiana Senior Living Award Survey

Category of Senior Living *

Select the category of care best suited to the person living at the senior living community this review is being completed on:

Independent Living

Assisted Living

Personal Care

Memory Care

Nursing Home

Post-Acute Rehab

OVERALL RATING *

How would you rate the senior living overall? Five stars is the best and highest rating | zero stars is the least and lowest rating

ZERO STARS - 0

ONE STARS - 1

TWO STARS - 2

THREE STARS - 3

FOUR STARS - 4

FIVE STARS - 5

QUALITY OF CARE *

How would you rate the quality of care at the senior living? Five stars is the best and highest rating | zero stars is the least and lowest rating

ZERO STARS - 0

ONE STARS – 1

TWO STARS – 2

THREE STARS – 3

FOUR STARS – 4

FIVE STARS – 5

DINING & MEALS *

How would you rate the dining and meals provided by the senior living ? Five stars is the best and highest rating | zero stars is the least and lowest rating.

ZERO STARS – 0

ONE STARS – 1

TWO STARS – 2

THREE STARS – 3

FOUR STARS – 4

FIVE STARS – 5

ACTIVITIES AVAILABLE *

How would you rate the activities offered at the senior living ? Five stars is the best and highest rating | zero stars is the least and lowest rating.

ZERO STARS – 0

ONE STARS – 1

TWO STARS – 2

THREE STARS – 3

FOUR STARS – 4

FIVE STARS – 5

CLEANLINESS *

How would you rate the cleanliness of the senior living ? Five stars is the best and highest rating | zero stars is the least and lowest rating.

ZERO STARS – 0

ONE STARS – 1

TWO STARS – 2

THREE STARS – 3

FOUR STARS – 4

FIVE STARS – 5

COMMUNICATION *

How would you rate the communication from the staff at the senior living ? Five stars is the best and highest rating | zero stars is the least and lowest rating.

ZERO STARS – 0

ONE STARS – 1

TWO STARS – 2

THREE STARS – 3

FOUR STARS – 4

FIVE STARS – 5

COST VS VALUE *

How would you rate the cost verses value of the senior living when compared to other senior living options? Five stars is the best and highest rating | zero stars is the least and lowest rating.

ZERO STARS – 0

ONE STARS – 1

TWO STARS – 2

THREE STARS – 3

FOUR STARS – 4

FIVE STARS – 5

MANAGEMENT STAFF *

How would you rate the management staff at the senior living ? Five stars is the best and highest rating | zero stars is the least and lowest rating.

ZERO STARS – 0

ONE STARS – 1

TWO STARS – 2

THREE STARS – 3

FOUR STARS – 4

FIVE STARS – 5

How are you connected to this Senior Living community? *

Current resident

Former resident

Loved-one of current resident

Loved-one of former resident

Staff

Vendor at the Senior Living

Other

Name

optional

First Name

Last Name