Methuen Village at Riverwalk Park
4 Gleason Street, Methuen, Massachusetts, 01844
Phone: 978-685-2220 Fax: 978-685-2236
Visit our Model Apartment Open House Saturdays & Sundays 11am-2pm!

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Methuen Village Survey- Your Input Valued!

(All survey respondents will be entered into a raffle for a chance to win a $100 gas card!)

First Name:
Last Name:
Address:
State:
Zip Code:
Phone:
Email:

1. Methuen Village is located in downtown Methuen at the end of Gleason Street, a small cul-de-sac off Broadway directly across the street from the new Enterprise Bank. Are you familiar with this location?
Yes No

2. Methuen Village will offer local seniors assisted living and residential Alzheimer's care with a full range of services and amenities. Have you heard that Methuen Village's cost will be lower than other assisted living communities in the area?
Yes No

3. Our Memory Support Neighborhood will offer state-of-the-art residential Alzheimer's care serving seniors with varying degrees of memory loss. We are interested in sponsoring an Alzheimer's support group for families. Do you know of people who would benefit from this support?
Yes No

4. Did you know that assisted living offers a cost-effective alternative to nursing home care and for many seniors is less costly than living at home with equivalent home health care services?
Yes No

5. Thinking about senior citizens you know, what ordinary daily activities most frequently cause them difficulty? (Check all that apply)

Grocery shopping	Daily housekeeping	Security worries
Dressing & bathing	Too many stairs	Social isolation/loneliness
Transportation	Preparing meals	Home maintenance/yard work
Managing medications	Clothes laundering

6. Which of the following services and activities would be the most important to offer residents of Methuen Village? (Check all that apply).

Nurse on site	Certified personal care staff on site 24 hours a day	Laundry services
Arranging transportation	Personal care assistance (bathing, dressing, etc.)	Social activities
Three nutritious meals daily	Specialized Alzheimer's care	Arranging doctor's visits
Housekeeping services	Assistance managing medications	Fitness activities & classes

7. What are your main sources of community news and information? Please check all that apply:

Television:
WCVB-5 / WMUR-9
WHDH-7
WBZ-4
WFXT-25

Radio:
WCAP 980AM
WCCM 1110AM
WNBP 104.9FM
RUMBO 1430/1200AM

Daily Newspaper:
Lowell Sun
Lawrence Eagle Tribune
Daily News Of Newburyport
Boston Globe
Boston Herald

Internet: (Which sites?)

8. Of the people you know who have looked for or moved into assisted living communities, how did they start their search? Please check all that apply:

	Browsed the internet		Talked to an eldercare professional for advice (such as a geriatric care manager)
	Called the local Senior Center or Council on Aging		Looked in the yellow pages
	Talked to friends and family

9. Do you belong to a community organization that might be interested in volunteering and/or participating in joint activities with residents of Methuen Village? Would your organization be interested in using our community room for meetings? Once we open our Social Program Director will contact you to make arrangements. Thank you for your interest!

Yes, my organization would be interested in volunteering and/or participating in joint activities
Yes, we would like to hold our meetings at Methuen Village

Organization(s):
Address:
State:
Zip Code:
Phone:
Email:
Potential joint activities:

Are you interested in learning more about assisted living or Alzheimer's care at Methuen Village?
Yes, please contact me Not at this time