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Fieldgate Living

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Pre-Registration
Name*
First Last
Address
Street Address Address Line 2 City Province Postal Code Country
Email*
Home Phone:
Mobile Phone*
Business Phone:

General Questions
Are you a real estate agent?*
- Yes
- No
What attracts you most to living in Milton? (Please check all that apply)*
- Access to parks, golf clubs and conservation areas
- Access to major highways
- Access to public transportation
- Proximity to friends and familiar shopping/businesses
- Proximity to kids and grand kids
- Living in a town with a lot of festivals and events
Do you currently:*
- Own your home
- Rent your home
- Live with a family member
In what type of home do you live?*
- Single-detached
- Semi-detached
- Townhome
- Condominium Building
- Apartment

Apartment Questions
What size of apartment would you like?*
- Studio
- One bedroom
- One bedroom plus den
- Two bedrooms
- Two bedrooms plus den
BUILDING AMENITIES AND SERVICES

Tenants will be given the opportunity to take advantage of various amenities in this Adult Lifestyle building. A monthly membership fee or pay-as-you-go user fee would be applicable.

Please advise your interest in the following amenities.
How important is access to an outdoor swimming pool and/or hot tub?*
1
Not at all 2 3 4 5 6 7
Very
How important is access to a gym and/or exercise classes?*
1
Not at all 2 3 4 5 6 7
Very
How important is access to a hair salon and/or wellness spa?*
1
Not at all 2 3 4 5 6 7
Very
How important is access to a physiotherapist and other rehabilitation services?*
1
Not at all 2 3 4 5 6 7
Very
How important is access to a party room and/or outdoor party terrace?*
1
Not at all 2 3 4 5 6 7
Very
How important is it to have prepared meals available in house?*
1
Not at all 2 3 4 5 6 7
Very
How important is it for you to have access to a guest suite to accommodate friends or family for short term stays?*
1
Not at all 2 3 4 5 6 7
Very
How important is it for you to have a car share program in the building?*
1
Not at all 2 3 4 5 6 7
Very
How important is the ability to join in with special events, vacation getaways and entertaining social gatherings?*
1
Not at all 2 3 4 5 6 7
Very
How important is having 24-hour security services?*
1
Not at all 2 3 4 5 6 7
Very
How important is having personal support and health care services available to you on a 24-hour basis?*
1
Not at all 2 3 4 5 6 7
Very
How important is having housekeeping and laundry services available to you weekly?*
1
Not at all 2 3 4 5 6 7
Very

Closing questions
How much are you willing to pay for your monthly apartment rental?*
- $1,500 - $1,800 per month
- $1,800 - $2,100 per month
- $2,100 - $2,400 per month
- $2,400- $2,700 per month
- $2,700 - $3,000 per month
- $3,000 + per month
What is your timeframe for moving to an adult lifestyle apartment?*
- Within the next 6 months
- Within the next year
- More than a year
- Not sure now
To what age group do you belong?*
- 50 - 55
- 55 - 60
- 61 - 65
- 66 - 70
- 70 - 75
- 75+
What is your marital status?*
- Single
- Married/Couple/Partnered
- Widowed
How many family members or friends will live permanently in your apartment?*
- 1
- 2
- 3
- 4
- 5
How many automobiles in your household?*
- none
- 1
- 2
- 3
If working, what is your occupation?
If working, where is your occupation?
How did you learn about us?*
- Signage
- Website
- Email
- Direct Mail
- Magazine
- Friend
How did you learn about us?*
- Signage
- Website
- Email
- Direct Mail
- Magazine
- Other
If we decide to conduct a focus group discussion, would you be interested in attending?*
- Yes
- No
Suggestions/Comments

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