Long term care/Intermediate Care Facility Elopement Survey

This survey should take about 2 minutes to complete.

This anonymous, voluntary survey will help inform ourselves about elopement prevention and preparedness activities among long-term care and intermediate care facilities in the U.S. Full results will be shared in subsequent publications. 
1.How many reported elopements has your facility experienced in the past twelve months?
2.What elopement prevention/protection methods are used in your facility? Check all that apply.
3.Do you believe your physical facility design helps to protects your patients/residents from elopement?
4.In your opinion, does inadequate staffing increase the threat of elopement in your facility?
5.During the past 12 months, how many hours of training specific to elopement prevention and response did EACH employee receive?
6.When is the last time you had an elopement exercise or drill?
7.In what type of setting do you work?
8.In what state is the facility located?
9.If you would like to receive a copy of the survey results and additional information on violence in healthcare facilities, enter your name and email address here.
10.Thank you. If you wish to comment further, please do so here. For more information on healthcare preparedness, see our website at https://www.yourcrisisteam.com