Property Questionnaire

Your Name
First Last
Your Email Address
Your Phone Number
Are you the property owner?
- Yes
- No
Facility Name
Facility Address
Street Address City State ZIP Code
What Year Was Your Facility Built? Or the Approximate Age of the Facility?
What is the Size of Your Facility in Square Feet?
Is the Facility Single Story? Or How Many Floors?
Is There a Sprinkler System?
How Many Resident Rooms/Units?
How Many Beds / What's the Licensed Capacity?
Sometimes resident units may be occupied by more than one person so that the number of beds or licensed capacity is more than the number of resident units.
What is Your Current Resident Census?
In other words, how many residents are with you today?
What is Your Current Monthly Revenue?
What Percentage of Your Current Revenue is From Private Pay Sources?
What Is Your Asking Price (If You Know)?
Why Are You Selling?
What Else Should We Know About You or Your Property?