1. How familiar are you with senior living options and costs? - Ie. Not familiar, Somewhat familiar, Very familiar
2. Please tell us your budget range: Ie. < $3,500/month, $4,000 - $5,000/month, $5,000-$6,000/month, more than $6,000/month
3. When would you or your loved one be looking to move? Ie. Immediately, 1-3 months, More than 3 months, Just researching
4. Please feel free to include any questions you may have, or let us now of any additional details, concerns, or special considerations you may have.