Dear valued customer, we are surveying customers such as yourself to determine if you would be interested in services that will help you live independently in your home for as long as you wish.
For your time in completing this survey, we will be happy to send a FREE $10 VISA gift card to your home.
Your Name:*
Location of Install
Street Address:*
City:*
State:
Zip Code:*
1. Since the installation of your Bath Fitter system, have you or others who live in your home experienced any difficulty getting in or out of the tub and/or maneuvering in your bathroom?
YesNo
If you answered NO, do you expect that you might have difficulty maneuvering in your bathroom within the next 3 to 5 years?
YesNo
2. Have you had any concerns about accessibility or difficulty maneuvering in other areas of your home, such as your kitchen or stairs?
YesNo
3. Given the choice of aging in your home versus selling your home and relocating to a more compatible space or assisted living facility, what would be your preference?
Improve HomeRelocate
4. Would you be interested in learning more about a company that would offer an independent evaluation of your bathroom and/or kitchen to provide you with suggestions that could improve the accessibility in your home and increase your safety?
YesNo
If you answered YES, would you be interested in obtaining this evaluation and have these high-quality safety improvements installed by a reputable company, allowing you to remain in your home for the foreseeable future?
YesNo
5. If you believe that remaining in your home is the preferable option, and given the cost of one month’s stay in a fully licensed long-term care facility begins at about $5,000, would you be willing to invest the equivalent of a three-month stay, up to $15,000, to make the improvements necessary to stay in your home?
YesNo
Comments:
Where should we send your gift card?
Street Address:*
City:*
State:
Zip Code:*
