PPC application form

Thank you for choosing to participate in our survey!

Your answers will play a vital role in determining new and effective ways of marketing RAL businesses. You will be notified directly about whether or not your RAL business was selected to participate in the Pay-per-click Experiment. Either way, your participation is greatly appreciated and will further our advancements in providing you with valuable research and new tools for RAL success. The selected RAL businesses will be provided with up $50,000 in pay-per-click advertising, along with a complimentary consultation. Please fill out every question below, to ensure your eligibility for being considered for this opportunity.

Your name: *

Your email: *

Your phone number:

Name of your home: *

What is the city and state of your house? *

What is the size of the house (in square ft)? *

How many beds do you have in total? *

How many beds are filled? *

What is your percent occupancy for the last 3 months? *

What are the types of services you offer? *

Residential Assisted Living

Memory Care

Other (please specify in the "additional notes" section below)

What is the cost of acquiring a new resident? *

What is the average length of stay of a resident? *

What are your monthly rates? *

What marketing strategies have you tried before? *

How much do you spend monthly on marketing (in USD)? *

Who are your biggest competitors? *

How many beds do you need to have filled in order to be profitable? *

If you have any additional notes, please write them here:

If you are human, leave this field blank.