Magnolia Gardens has added this brief questionnaire for your convenience. When you click the submit button below you will instantly send this survey to our staff. We will review your information and follow up with a courtesy phone call. Waiting List Application and Questionnaire Your Name Address Phone Number Your Email Name of inquirer What is the applicant's current living condition? What is your total gross monthly income? $0 - $750 $751 - $1,000 $1,001 - $1,500 $1,501 - $2,000 $2,001 - higher This information helps us determine whether you pre-qualify for residency. Is the applicant a veteran? Please Choose Yes No If yes then which branch? Army Navy Air Force Marines Coast Guard How did you hear about Magnolia Gardens? Please list five things you would want to know about the prospective resident. (For example, Dad enjoys watching college football on Saturdays.)