Question Title

* 1. What is your state of practice?

Question Title

* 2. What is your professional licensing?

Question Title

* 3. Do you provide medical care to residents of assisted living communities on-site?

Question Title

* 4. What is the number of assisted living communities where you provide on-site medical care?

Question Title

* 5. Can the assisted living staff assist in telemedicine visits with residents?

Question Title

* 6. Please indicate which of the following duties that are performed by the assisted living staff in preparation for your visits (select all that apply):

Question Title

* 7. Number of assisted living communities where you serve as a Medical Director (if 0, please proceed to #11)

Question Title

* 8. If you answered yes to the question above, do you have a formal contract with the Assisted Living Community?

Question Title

* 9. How many times a month do you meet with the Assisted Living Administration in your role as Medical Director?

Question Title

* 10. What is the average number of hours per month you dedicate to Medical Direction for each Assisted Living community that you work with?:

Question Title

* 11. Please indicate which of the following administrative duties you perform in Assisted Living (select all that apply):

T