The first questions are asked in order to understand who you are and the market we are trying to serve. All of the information you provide will be completely confidential. If you would like more information, please email us at glarpinc@gmail.com or call us at 310-722-1806

1. What is your zip code?

Your email address?

1a. Are you? Single With a partner A parent

2. Are you? Male Female

2a. What is your name:

2b:  Your Address: 

3. What is your current age?

3a. If you have a partner, what is their current age?

3b:  What is your partner’s name:

3c:  What is your partner’s address, if different than yours: 

4. How would you describe your general health compared to others your age? Excellent Good Fair Poor

5. Do you currently live in a:

Single home

Rental apartment

Condominium or townhouse

Mobile home

Living with family members
Other

Top

6. Do you own the residence in which you live?
Yes No (If no, skip to question 9).

7. If yes, is your monthly mortgage payment:

Less than $500

$900 to $1,099

$500 to $699

$1,100 or over

$700 to $899

Do not have a mortgage

8. What do you think your house would sell for today?

Less than $75,000

$350,000 to $449,999

$75,000 to $149,000

$450,000 to $599,999

$150,000 to $249,999

$600,000 or more

$250,000 to $349,000

9. If you currently rent, is your monthly rent:

Less than $500

$900 to $1,099

$500 to $699

$1,100 or over

$700 to $899

9a. Does your monthly rent include utilities?
Yes No

10. In which of the following categories would you say your gross taxable income fell last year?

Under $25,000

$60,000 to $69,999

$25,000 to $49,999

$70,000 to $79,999

$50,000 to $59,999

$80,000 or over

11. What are you considering for housing arrangements during your retirement years?

Remain in current situation

Move to a retirement community

Move to another house/apartment

I have no plan

Move in with family members or friends

12. What do you like most about your current living situation? (Mark all that apply).

Independence

Near family

Cost

Near friends

Near shopping

Near medical facilities

Other

13. What do you like least about your current living situation? (Mark all that apply).

Cost

Loneliness

Difficult to maintain

Health problems

Security worries
Other

14. How familiar are you with retirement communities?

Completely unfamiliar

 Somewhat familiar Very familiar

Top

15. Please check any of the following experiences that you have had with retirement communities.

Know someone living in a retirement community
Visited friends of family in a retirement community
Looked into living in a retirement community; placed a family member in one
Seen sales literature about retirement communities
None of the above

16. What factors would you consider most important about retirement communities? (Please rank in order from 1 to 6).

Atmosphere

Services

Building design

Staff

Prices

Location

17. How important is it to you to find a gay owned or gay friendly retirement community?

Very important

Somewhat important

Not important

17a. Is it important enough to you to live in a gay/lesbian friendly retirement community, that you would relocate?

Yes No

18. If you were to consider moving to a retirement community, would you prefer that its residents were:

All female  All male  Mixed

19. If you were to consider moving to a retirement community, would you prefer it to be located:

In a rural area or small town
In a residential area outside of a large city
Within a major metropolitan area

20. If you were to consider moving to a retirement community, would you prefer:

To stay near your current living situation
To stay within 60 miles of your current living situation
To stay within the State of (Please indicate your choice of State).
To relocate to a new community and/or climate

21. If you were interested in moving to a retirement community, when would you consider becoming a resident?

Within 1 year

3 to 5 years

1 to 2 years

6 or more years

22. Retirement communities offer a variety of financial options. Which would you prefer?

Buy the unit, with the potential for a one time capital gains tax shelter from the sale of your current home. You also pay a monthly fee for operations and specified services.
Pay a partially refundable entry fee (which is lower than the purchase price in the option above), and a monthly fee for operations and services. The refund is provided to you or your estate when the unit is vacated depending on the timing and amortization schedule.
Rent. Pay no initial fee, but pay a considerably higher monthly fee to cover rent, operational costs and services.

23. If you were moving into a retirement community, which type of living arrangement would interest you?

Apartment type units in a complex
1-story single or attached homes with access to community areas

24. What type of floor plan would most interest you?

Studio (one room), 1 bath

1 bedroom, 1½ bath, den

1 bedroom, 1 bath

2 bedroom, 2 bath

1 bedroom, 1½ bath

2 bedroom, 2 bath, den

1 bedroom, 1 bath, den

25. Retirement communities provide various services to residents. Please mark for each of the following services how important it would be to you in deciding whether to move to a retirement community.

1- not important; 2-slightly important; 3-somewhat important; 4-very important; 5-essential
 

1

2

3

4

5

Breakfast

Lunch

Dinner

Weekly housekeeping

Weekly linen service

Social and recreational programs

Local transportation

Security services

Home health assistance

On-site nursing facility

Assistance with financial management

Full-service fitness center

Other

Top

26. Which of the following describes how you anticipate paying for your nursing home needs, if any?

Medicare

Family

Personal Assets

Private Insurance

Medical/Welfare
Other

27. Do you carry a long term care insurance policy?
Yes No

Please note that by joining GLARP®, you will be given a priority in obtaining retirement housing sponsored by GLARP® BASED ON YOUR MEMBERSHIP NUMBER!

Thank you for taking the time to complete this survey. If you would like to receive more information about GLARP®'s plans for retirement communities and be included on GLARP®'s mailing list, please support us by joining GLARP®. Becoming a Member Otherwise, fill out the following form for our research purposes. If you have questions or concerns, please E-mail us at glarpinc@gmail.com.
TO SEND: please click on the "SUBMIT" button below.

I am a member of GLARP®: Yes No

I am interested in (check all that apply):

Receiving mailings
Talking with someone about GLARP®'S plans/exploring investment opportunities.
Participating in Focus Group discussions on program and design

Any comments? Please note them here.
Top
Website Design by 123Triad Web Design| Terms & Condition | Privacy Policy | SITEMAP © 2009 GLARP. All Rights Reserved.