Conjoint Analysis Survey Template is one of the widely used survey templates. This sample survey template measures preferences for retirement housing and to learn from the various options (apartment type) provided to the survey takers as to which option will be best suited to them. This survey template most likely should be sent to people nearing the retirement age to understand their preferences regarding the living facilities they would want to avail upon retirement if they want to move into such retirement homes.
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We would like to know your opinions about retirement housing. In general, we are considering a campus setting that would include apartments, a nursing home, and on-site services for the convenience of the residents. Each apartment would include living and dining areas, one bathroom, kitchen facilities and at least one private bedroom. Again, we would like your help in identifying your most preferred combination of benefits. There are six possible combinations presented. Please consider each one independently. How likely would you be to sign a rental agreement for retirement housing in the near future? OPTION I: If the following option were available NOW, and if you had already decided to move from your present home within the next year, how acceptable is this alternative? RENT: $1,500 PER MONTH LOCATION: NORTHWEST PART OF TOWN SIZE AND BEDROOMS: 850 SQ FEET, 1 BEDROOM SPECIAL SERVICES: NONE MEAL SERVICE: 2 PER DAY OPTION II: What if your circumstances were the same as those mentioned in Option I, but the offer was now described as follows: RENT: $1,500 PER MONTH LOCATION: SOUTHWEST PART OF TOWN SIZE AND BEDROOMS: 650 SQ FEET, 1 BEDROOM SPECIAL SERVICES: MAINTENANCE SERVICES MEAL SERVICE: 3 PER DAY OPTION III: What if your circumstances were the same as those mentioned in Option I, but the offer was now described as follows: RENT: $750 PER MONTH LOCATION: SOUTHEAST PART OF TOWN SIZE AND BEDROOMS: 1000 SQ FEET, 2 BEDROOMS SPECIAL SERVICES: MEDICAL EMERGENCIES MEAL SERVICE: NONE OPTION IV: What if your circumstances were the same as those mentioned in Option I, but the offer was now described as follows: RENT: $1,250 PER MONTH LOCATION: NORTHEAST PART OF TOWN SIZE AND BEDROOMS: 850 SQ FEET, 1 BEDROOM SPECIAL SERVICES: IN-APARTMENT NURSING MEAL SERVICE: 1 PER DAY OPTION V: What if your circumstances were the same as those mentioned in Option I, but the offer was now described as follows: RENT: $1,000 PER MONTH LOCATION: DOWNTOWN SIZE AND BEDROOMS: 1000 SQ FEET, 2 BEDROOMS SPECIAL SERVICES: SECURITY SERVICES MEAL SERVICE: 2 PER DAY OPTION VI: What if your circumstances were the same as those mentioned in Option I, but the offer was now described as follows: RENT: $750 PER MONTH LOCATION: DOWNTOWN SIZE AND BEDROOMS: 650 SQ FEET, 1 BEDROOM SPECIAL SERVICES: IN-APARTMENT NURSING MEAL SERVICE: 3 PER DAY |