Springhill-Contact Us Form

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Call us at:	814-860-7042 or 800-755-6784
E-mail us at:	springhillinfo@asbury.org
Visit us at:	2323 Edinboro Road Erie, PA 16509	►Visit our Life Around Lake Erie page. ► Driving directions to Springhill. Or map your own directions to Springhill Senior Living Community using Google Maps.

Or, please use this handy form:

Please Note: If you wish to receive information from Springhill, please be sure to provide your address and email below.
Name
Address
City
State	Zip Code
Phone (day)
Phone (evening)
E-Mail
What lead you to our web site?

Comments/ Questions

To send this information, please scroll down this page and click on the Submit button or take a few minutes to take our optional survey.

Optional Survey
If you choose, please take a moment to fill out the following survey. This information will be used to help Springhill better serve seniors in our area.

Where do you live?

Armstrong County	Beaver County	Butler County
Crawford County	Erie County	Lawrence County
Mercer County	Venango County	Warren County

Which of the following best describes your current residence?

Single Family Home

Condominium

Apartment

Are you considering a move to a retirement community?

In the next 6 months	In the next year	In the next 2 years
Within 5 years	Within 5 to 10 years

Which of the following most closely matches your future housing plans?

No plans currently	Move in with relatives	Move from this area
Move to another house, apartment or condominium		Move to a retirement community

Which three of the following reflect what you hope to enjoy most in retirement.

Hobbies	Time with family/friends	Volunteering
Health/Fitness	New friends	Learning new things
Travel	Community involvement

Which three of the following are most important to you in a retirement residence?

Friendly atmosphere	Quality health care	Choice of services
Good reputation	Well-trained staff	Educational programs
Not-for-profit	Choice of accommodations	Activity/recreation opportunities

Your gender: Male Female

Your age group:

Your marital status: Married Widowed Divorced Single Other

Your annual income range:

Less than $35,000	$35,000-50,000	$50,000-80,000
$80,000 or higher

Your home value estimate:

Less than $100,000	$200,000-299,999	$400,000-499,999
$100,000-199,999	$300,000-399,999	$500,000+