Assessment Form

Personal & Contact Details

Full Name *

Email *

Phone *

City

State

Current Status & Background

What type of work do you currently do? (Briefly describe)

What is your estimated annual income? (Range options: Under $50k, $50k–$100k, $100k–$250k, $250k+)

Do you currently own or lease a property that could be used as an ILF? *

Yes

If yes, please provide details (location, size, number of rooms).

If no, are you actively looking to acquire a property for your ILF?

Readiness & Commitment

When are you looking to get started? *

Within 1–3 months

Within 6 months

Just Exploring

Have you ever managed a business before? (Yes/No – If yes, what kind?) *

Are you ready to invest $20,000 into setting up your ILF with hands-on support? (Yes/No) *

Yes

Who will be the primary decision-maker for this project? *

Goals & Expectations

What is your vision for your Independent Living Facility?

What are your biggest concerns or challenges in starting your ILF?

Why do you believe now is the right time to start your ILF journey?

Travel & Scheduling

What is the closest or most convenient airport for our team to fly into? *

Any scheduling preferences or dates we should know about? *

Agreement:

I understand this is a $20,000 investment, and completing this assessment does not guarantee acceptance. A team member will contact me to discuss next steps.