---
title: Assisted Living Community Stakeholder Interview Form Template | Paperform
description: Professional stakeholder interview template for assisted living communities. Gather feedback from residents, families, staff, and healthcare partners about care philosophy, programming, and services.
url: "https://paperform.co/templates/assisted-living-community-stakeholder-interview"
type: static
generatedAt: "2026-03-28T00:43:04.858Z"
---

[← Back to free form templates](/templates/)    ![Assisted Living Community Stakeholder Interview](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/assisted-living-community-stakeholder-interview.png)
    [Preview](https://_preview.paperform.co/ai-template/assisted-living-community-stakeholder-interview) [Use this template for free](/create?ai-template=assisted-living-community-stakeholder-interview)    [Discovery & Research Forms](/templates/category/discovery-research/)[Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/)[Senior Care](/templates/industry/senior-care/)[Assisted Living](/templates/industry/assisted-living/) [Manager](/templates/role/manager/)[Social Worker](/templates/role/social-worker/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Caregiver](/templates/role/caregiver/)     About this free form template
### Strengthen Your Assisted Living Community Through Meaningful Stakeholder Conversations

Running a successful assisted living community means listening to everyone who makes your community thrive—from prospective residents and their families to your dedicated care staff and healthcare partners. This **Assisted Living Community Stakeholder Interview template** helps you gather structured, meaningful feedback that informs better care decisions, programming improvements, and operational excellence.

#### Why Stakeholder Research Matters in Senior Care

In the assisted living industry, understanding stakeholder perspectives isn't just good practice—it's essential for delivering person-centered care. Whether you're evaluating your care philosophy, planning new activity programs, or refining medical services, input from those directly involved provides invaluable insights that surveys alone can't capture.

This interview template is designed specifically for assisted living communities, memory care facilities, senior living operators, and healthcare administrators who need to:

 - Conduct structured discovery interviews with prospective residents and their families
 - Gather feedback from care staff about day-to-day operations and resident needs
 - Collect input from healthcare partners on medical service coordination
 - Understand family involvement preferences and communication expectations
 - Evaluate satisfaction with living arrangements, amenities, and programming
 - Identify opportunities to improve care quality and resident experience

#### Built for the Realities of Senior Care

Unlike generic interview forms, this template addresses the unique dynamics of assisted living stakeholder research. It includes conditional questions that adapt based on the respondent's role (resident, family member, staff, or healthcare partner), ensuring everyone gets relevant questions while maintaining a respectful, warm tone appropriate for senior care conversations.

The form covers essential areas including:

 - **Care philosophy and approach** – Understanding values, preferences, and expectations around dignity, independence, and support
 - **Activity programming** – Gathering input on social activities, wellness programs, therapeutic recreation, and engagement opportunities
 - **Medical services and coordination** – Exploring healthcare needs, medication management, and coordination with external providers
 - **Living arrangements and environment** – Collecting feedback on room layouts, common spaces, safety features, and homelike atmosphere
 - **Family involvement and communication** – Understanding how families want to stay connected and involved in care decisions

#### Create Professional, On-Brand Interview Forms in Minutes

With Paperform's document-style editor, you can customize this template to match your community's brand and voice. Add your logo, adjust the color scheme to match your website, include photos of your community, and modify questions to address your specific research goals—all without any coding.

The form works beautifully on any device, so you can conduct interviews in person on a tablet, send the link via email for asynchronous feedback, or embed it on your community website for ongoing input gathering.

#### Turn Stakeholder Insights Into Action With Workflow Automation

Collecting feedback is just the beginning. Use **Stepper** (stepper.io) to automatically route interview responses to the right team members and trigger follow-up actions:

 - Send family member responses to your admissions team with a task to schedule a community tour
 - Alert your activities director when residents request specific programming
 - Notify your director of nursing when healthcare partners identify care coordination opportunities
 - Create tasks in your project management tool when staff identify operational improvements
 - Log all stakeholder feedback in your CRM or resident management system for trend analysis

With Paperform's conditional logic, you can also customize confirmation messages and next steps based on stakeholder type—thanking prospective residents for their time while offering to schedule a visit, or confirming with staff that their input will be reviewed in the next team meeting.

#### AI-Powered Insights for Faster Analysis

After collecting stakeholder interviews, use Paperform's **AI Insights** feature to quickly identify common themes, sentiment trends, and priority areas across all responses. Instead of manually reading through dozens of individual interviews, get AI-generated summaries that highlight what matters most to each stakeholder group—helping you make data-informed decisions about care improvements, programming changes, and operational priorities.

#### Trusted by Healthcare and Senior Living Communities

Paperform is **SOC 2 Type II compliant** and designed with privacy and security in mind—essential when handling sensitive information about residents, care needs, and healthcare coordination. With robust access controls, data residency options, and GDPR compliance, you can confidently collect stakeholder feedback knowing it's protected.

Please note: While Paperform provides enterprise-grade security, it is not a HIPAA-compliant solution. For protected health information (PHI), please use appropriate HIPAA-compliant systems.

#### Who This Template Is Perfect For

This assisted living stakeholder interview template is ideal for:

 - **Assisted living communities** conducting discovery research with prospective residents
 - **Memory care facilities** gathering feedback from families about specialized care needs
 - **Senior living operators** evaluating satisfaction across multiple communities
 - **Healthcare administrators** coordinating with medical partners and care teams
 - **Activities directors** planning programming based on resident interests
 - **Executive directors** conducting strategic planning informed by stakeholder input

#### Get Started Today

Whether you're opening a new community, evaluating current operations, or planning improvements to care and programming, this template gives you a professional starting point for meaningful stakeholder conversations. Customize the questions to match your research goals, share with your stakeholder groups, and start gathering the insights that will help you deliver exceptional person-centered care.

With Paperform, you get more than just a form—you get a complete platform for stakeholder research, workflow automation, and actionable insights that help your assisted living community thrive.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
 ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg)
 ![G2 - 4.8 out of 5](/images/g2-st.jpg)
  [Try Paperform free now](/register)
## More templates like this
  [![Assisted Living Facility Assessment Availability Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/assisted-living-facility-assessment-availability-form.png)

### Assisted Living Facility Assessment Availability Form

Schedule facility tours, care assessments, and family meetings for assisted living placement. Collect availability preferences, care needs, and coordinate the decision-making process.](/templates/assisted-living-facility-assessment-availability-form/)
[![Assisted Living Facility Inquiry & Care Assessment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/assisted-living-facility-inquiry-care-assessment-form.png)

### Assisted Living Facility Inquiry & Care Assessment Form

A comprehensive inquiry form for assisted living facilities that combines care level assessment, transparent pricing information, and convenient tour scheduling to help families make informed decisions about senior care.](/templates/assisted-living-facility-inquiry-care-assessment-form/)
[![Home Healthcare Focus Group Recruitment for Caregivers](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/home-healthcare-focus-group-recruitment-for-caregivers.png)

### Home Healthcare Focus Group Recruitment for Caregivers

Recruit caregivers for home healthcare research focused on patient conditions, care needs, insurance coverage, and respite care services. Screen participants for focus group participation.](/templates/home-healthcare-focus-group-recruitment-for-caregivers/)
[![Hospice Care Discovery Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/hospice-care-discovery-form.png)

### Hospice Care Discovery Form

A compassionate intake form for hospice care providers to assess patient needs, medical status, symptom management requirements, spiritual preferences, and family support services.](/templates/hospice-care-discovery-form/)
[![Nursing Home Activity Program Stakeholder Interview](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/nursing-home-activity-program-stakeholder-interview.png)

### Nursing Home Activity Program Stakeholder Interview

Gather valuable input from residents, family members, activities staff, and therapists about your nursing home's activity programming, cognitive benefits, physical engagement, and social connections.](/templates/nursing-home-activity-program-stakeholder-interview/)
[![Nursing Home Admission Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/nursing-home-admission-application.png)

### Nursing Home Admission Application

Comprehensive nursing home admission application collecting resident information, medical history, insurance details, and care level requirements for long-term care placement.](/templates/nursing-home-admission-application/)
[![Residential Hospice Application Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/residential-hospice-application-form.png)

### Residential Hospice Application Form

A compassionate application form for residential hospice care admission, collecting medical documentation, care preferences, and family visitation details to ensure dignified end-of-life support.](/templates/residential-hospice-application-form/)
[![Respite Care Focus Group – Family Caregiver Recruitment](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/respite-care-focus-group-family-caregiver-recruitment.png)

### Respite Care Focus Group – Family Caregiver Recruitment

A screening form designed to recruit family caregivers for a focus group exploring respite care needs, preferences, and barriers. Gather insights on patient conditions, care duration requirements, facility vs. in-home preferences, and cost concerns.](/templates/respite-care-focus-group-family-caregiver-recruitment/)
[![Adult Day Care Center Lost Property Report](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/adult-day-care-center-lost-property-report.png)

### Adult Day Care Center Lost Property Report

A professional lost property report form designed for adult day care centers to document missing items, track program activities, and ensure proper family notification.](/templates/adult-day-care-center-lost-property-report/)
[![Assisted Living Facility Desk Assignment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/assisted-living-facility-desk-assignment-form.png)

### Assisted Living Facility Desk Assignment Form

A comprehensive desk assignment form for assisted living facilities to coordinate resident care stations, activity planning workspaces, and family communication areas with staff scheduling and resource management.](/templates/assisted-living-facility-desk-assignment-form/)
[![Assisted Living Fall Incident & Prevention Data Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/assisted-living-fall-incident-prevention-data-request-form.png)

### Assisted Living Fall Incident & Prevention Data Request Form

A comprehensive fall incident reporting and prevention system for assisted living facilities to document incidents, assess risks, track environmental modifications, and request data access to fall prevention records.](/templates/assisted-living-fall-incident-prevention-data-request-form/)
[![Assisted Living Family Portal Access Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/assisted-living-family-portal-access-request-form.png)

### Assisted Living Family Portal Access Request Form

Request secure online access to your loved one's electronic health records, care plans, physician orders, and billing statements through our family portal.](/templates/assisted-living-family-portal-access-request-form/)