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

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

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

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

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

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

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

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