Community Interest Questionnaire
Who are you?
Name _____________________________________
Address ___________________________________
Phone numbers ________________________ Cell________________
Email__________________________________________
What do you want?
1. Your level of interest in being part of the Intentional Community in 2nd Half of Life /Co-housing/Elder Neighborhood ?
___ Very, let’s go (Burning Desire)
___ Yes, want to get involved in the next few years (Interested Seeker)
___ Sounds like a great idea, I want to know more (Curious)
___ Don’t know all that much, but sounds very interesting ( Beginner )
___ Other _________________________________________________________________
2. At this time, how and where do you envision your community?
Preferred environment?
___ Rural - if so, what area? ____________ ( MUST drive to get places)
___ Suburban (close to services but not always walkable)
___ Urban area/urban infill (walkable to services)
Where?
Asheville _____ Hendersonville/Flat Rock_____ Fletcher______
Other_____________________ Don’t know___________________________
3. How do you envision the make up of the community in which you live?
Age restricted - 55+ _____
Elder rich (community focused on elders)? yes____ no___ don’t know ___
Intergenerational/Multigenerational? yes_____ no _____ don’t know _____
Open ________
4. What experiences have you had living in community in your past?
____ Dorm
____ Shared housing
____ Intentional community
____ Other- - Please describe
5. Specific interests you would like to have with others with whom you share a community?
6. How much do you expect to spend on your home in an intentional community?
Under $150,000__________
$150,000-200,000________
$200,001- $250,000_______
$250,001-$300,000________
$300,001-$400,000________
More than $400,000________
7. What else do you want us to know about you? As much or as little as you like!
PLEASE fill out and return to us. NO, we won’t be giving this to anyone!
Thanks!