Family Satisfaction Survey – Senior Living
Family Satisfaction Survey – Senior Living
Annual or quarterly survey distributed to resident family members and representatives covering care quality, communication, dining, environment, staff responsiveness, and overall recommendation likelihood. Designed to surface actionable insights that improve retention, trust, and care outcomes.
Overall Experience & Recommendation
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How likely are you to recommend this community to a friend or family member seeking senior living?
Rate on a scale of 1–5: 1 = Very unlikely, 3 = Neutral, 5 = Very likely. (Scores of 1–3 will prompt a follow-up question.)
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What is the primary reason for your recommendation score?
Please share what most influenced your rating above — positive or negative.
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Overall, how satisfied are you with your loved one's experience at this community?
1 = Strongly dissatisfied, 2 = Dissatisfied, 3 = Neutral, 4 = Satisfied, 5 = Strongly satisfied
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If your overall satisfaction score was 3 or below, what would most improve your experience?
Your candid feedback helps us prioritize improvements.
Care Quality & Clinical Responsiveness
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Staff attend to my loved one's personal care needs (bathing, grooming, mobility assistance) in a timely and dignified manner.
1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree
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When my loved one has a health concern or change in condition, staff respond promptly and keep me informed.
1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree
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Medications are administered accurately and on schedule.
1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree
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My loved one's care plan reflects their individual preferences, needs, and goals.
1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree
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Please describe any care quality concern or positive experience you'd like us to know about.
Specific examples help us recognize great care and address gaps quickly.
Communication & Family Partnership
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Staff proactively communicate updates about my loved one's health, activities, and well-being.
1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree
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When I raise a concern or ask a question, I receive a clear and timely response.
1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree
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I feel included as a partner in my loved one's care planning and decision-making.
1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree
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Which communication channel do you primarily use to stay connected with the community?
Select the option that best applies: Phone call / Email / In-person visits / Community app or portal / Written notices
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What would improve communication between you and the care team?
Please share any suggestions — frequency, format, or content improvements are all welcome.
Dining & Nutrition
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The meals served to my loved one are nutritious, appealing, and appropriate for their dietary needs.
1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree
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My loved one's food preferences, cultural considerations, and texture/consistency requirements are consistently honored.
1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree
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The dining environment is pleasant, social, and supportive of my loved one's dignity.
1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree
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Please share any specific dining concerns or compliments.
Examples: menu variety, meal timing, staff assistance during meals, hydration practices.
Environment, Safety & Activities
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My loved one's living space and common areas are consistently clean, well-maintained, and free of hazards.
1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree
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I feel confident that my loved one is safe and secure within this community.
1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree
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Activities and social programs are engaging, varied, and suited to my loved one's interests and abilities.
1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree
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Please describe any environmental, safety, or activity concern you'd like leadership to address.
Specific observations (e.g., a particular area, time of day, or activity gap) are most helpful.
Open Feedback & Optional Demographics
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Is there anything else you'd like to share about your loved one's experience or your own experience as a family member?
This is your space — compliments, concerns, suggestions, or anything we haven't asked about.
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How long has your loved one been a resident at this community?
Optional. Helps us understand feedback in context of length of stay. Options: Less than 3 months / 3–12 months / 1–3 years / More than 3 years
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How often do you typically visit or interact with your loved one and the community?
Optional. Options: Daily / Several times a week / Weekly / A few times a month / Monthly or less
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What type of care does your loved one currently receive?
Optional. Options: Independent Living / Assisted Living / Memory Care / Skilled Nursing / Respite Care / Not sure
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