Fraternity-Testvériség, 1995 (73. évfolyam, 1-4. szám)
1995-10-01 / 4. szám
TEAR ALONG DOTTED LINE FRATERNITY Page 13 BETHLEN HOME - SURVEY QUESTIONNAIRE The Bethlen Home of the Hungarian Reformed Federation of America is continually trying to maintain and improve its image and support among the community and to plan for the needs and desires of future residents. We would ask you to take a few minutes to review and complete the following brief questionnaire about the Bethlen Home. All responses will be supplied to the Strategic Planning Committee of the Bethlen Home and will be held in strictest confidence. Your response will greatly assist us in establishing goals and objectives for the future of the Bethlen Home, and in planning the necessary actions to reach those goals and objectives. Thank you for your assistance to our noble institution and God bless you. 1. Have you ever visited the Bethlen Home? ______Yes ______No. 2. If the answer to Question 1 is “yes”, how would you rate your overall impression of the Bethlen Home? ______Excellent _______Good _______Fair _______Poor 3. If you answered “Excellent” or “Good” to Question 2 above, please state what factors impressed you the most about the Bethlen Home. 4. If you answered “Fair” or “Poor” to Question 2 above, please state what factors troubled you most about the Bethlen Home. 5. Which services would you consider most desirable at the Bethlen Home, ranking them in order of desirability with “1” being the most desirable and “5” being the least desirable? ____Independent Retirement Living ____Assisted Retirement Living ____Full-time Nursing Care ____Community Center/Meeting Place ____Hungarian Cultural Center ____Other 6. Please use the following space (attach an extra page if necessary) for any comments you would like to make concerning the future of the Bethlen Home, or in general regarding the Bethlen Home: Name (Optional)______________________________________________________Phone: Address:___________________________ Please return completed questionnaire to: Rev. Imre A. Bertalan 1946 Bakewell St. Toledo, OH 43605 or William B. Puskas, Esq. 177 Somerset St. P.O. Box 513 New Brunswick, NJ 08903
