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. 

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* 1. How many reported elopements has your facility experienced in the past twelve months?

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* 2. What elopement prevention/protection methods are used in your facility? Check all that apply.

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* 3. Do you believe your physical facility design helps to protects your patients/residents from elopement?

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* 4. In your opinion, does inadequate staffing increase the threat of elopement in your facility?

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* 5. During the past 12 months, how many hours of training specific to elopement prevention and response did EACH employee receive?

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* 6. When is the last time you had an elopement exercise or drill?

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* 7. In what type of setting do you work?

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* 8. In what state is the facility located?

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* 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.

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* 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

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