(515) 832-2727
info@crestviewnrc.com

Schedule A Tour/Request Information

Name*

Phone*

Address*

Email

Interested in
 Tour of nursing home Tour of apartments Information about nursing home Information about apartments Information about home care services

Who are you looking for?
 Self Parent Aunt/Uncle Other family member Friend

If it is not self - Is he/she aware you’re looking?

Best method of contact

Best time of day to contact

How did you hear about Crestview

Additional questions to help us give you specified information for your loved one:

Family member’s name:

Where does he/she currently live?

What are his/ her thoughts regarding a move?

What is most important to you/ your loved one in regard to the community you choose?

Tell us about his/her typical day

If we could do anything else to help improve his/her quality of life, what would it be? More socialization, eating better, exercise, etc.

What is your greatest concern at this time?

What does/ did your loved one do for fun?

Is anyone else going to be involved in helping you make this decision?

What kind of time frame are your considering?