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

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

* 3. How many employees do you have at your facility?

* 4. What is the total number of direct care providers at your facility?

* 5. Employees and providers over age 45.

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

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

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

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