"Designing the Age Friendly Health Care Workplace" Participant Survey

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* 1. Which of the following best characterizes your facility (select all that apply)?

Teaching (Academic)

Private, For Profit

Private, Not For Profit

Public

Long Term Care

Other (please specify)

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* 2. How many beds is your facility licensed to occupy?

0-100 beds

101-300 beds

301-500 beds

More than 500 beds

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* 3. Does your facility offer any of the following programs/ activities? (Mark all that apply)

a. Smoking cessation

b. Health coaching

c. Health risk appraisal

d. Elder care

e. Child care

f. On site fitness center

g. Employee assistance program (EAP)

h. Flexible work arrangements

i. Employee continuing education benefits

j. Academic degree tuition benefits (for employee)

k. Academic degree tuition benefits (for family members)

l. Human factors/ ergonomics

m. Employee health clinic

n. No

Other (please specify)

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* 4. Are any of the following issues have been identified at your facility

a. Intergenerational employee conflict or communication issues

b. Higher risk of injury incidence or severity among older employees

c. Problems with introduction of new technologies

Other (please specify)

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* 5. Does your facility have specific initiatives to address the health needs of older workers? If yes, please describe.

Yes (Please provide examples.)

No (Please comment below)

Examples or Comments:

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* 6. Does your facility provide training and education to meet the needs of the aging workforce?

Yes (Please provide examples below.)

No (Please comment below.)

Examples or Comments:

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* 1. Which of the following best characterizes your facility (select all that apply)?

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* 2. How many beds is your facility licensed to occupy?

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* 3. Does your facility offer any of the following programs/ activities? (Mark all that apply)

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* 4. Are any of the following issues have been identified at your facility

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* 5. Does your facility have specific initiatives to address the health needs of older workers? If yes, please describe.

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* 6. Does your facility provide training and education to meet the needs of the aging workforce?

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* 7. Additional comments welcome. If you have a particular interest in the topic of the aging workforce, can you please share it with us?