Client Questionnaire Thank You NoteBefore starting the questionnaire, we would like to show our deep appreciation for your time. Our goal is to use this information to bring value to you and your loved ones by providing you with the best service.DisclaimerPrivacy Policy: We do not collect, use or disclose your personal information for any purpose other than those identified. If you have any questions, please contact Origin Active Lifestyle Communities.Generate an ID for yourself:Please provide a letter followed by a number to define your unique ID. We will use this unique ID instead of your personal information to address you and your application.1- Do you have access to the internet or Wi-Fi at home?YesNo2- Do you currently own any of the following smart home systems?Smart doorbellSmart smoke detectorAmazon Alexa/Google HomeI’m not sureNone of the above3- Do you know how to connect a device with Ethernet cable to your WiFi router? *YesNo, I would need a video tutorial/written manual for that.4- Are your stove tops electric or gas-based? *Gas-based stove topsElectric stove tops Gas-based stove tops Electric stove tops5- Which of the two models are similar to your knobs? *Round knobsKnobs with handles Round knobs Knobs with handlesDo you own Horizontal knob or Vertical Knob? *Horizontal KnobVertical Knob Horizontal knobs Vertical knobs6- How many knobs does your stove have? *This form will redirect you to another page once submitted.Submit your survey
