CCRC/IL COVID-19 Vaccination Survey: Staff and Residents Question Title * 1. What is the name of your organization? Question Title * 2. What services does your organization offer on campus? Independent Living Assisted Living Residential Care Skilled Nursing Adult Day Health Home & Community Based Services Question Title * 3. What percentage of your staff are fully vaccinated? 0% 50% 100% Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 4. What percentage of your residents are fully vaccinated? 0% 50% 100% Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 5. Has your organization announced that COVID-19 vaccines will be mandatory for ALL staff? Yes, COVID-19 Vaccination will be required for all staff, regardless of position No, COVID-19 Vaccination will only be required of staff working in state regulated areas of campus If yes, please indicate the date by which staff must be fully vaccinated: Question Title * 6. Have there been impacts from requiring staff to be vaccinated that you would like to share? Question Title * 7. At this time, are you planning or considering a COVID-19 vaccine requirement for current and prospective independent living residents? Yes, we require or plan to require a COVID-19 vaccine for all independent living residents (including prospective residents) Yes, we are considering/researching the possibility of a COVID-19 vaccine requirement for all independent living residents (including prospective residents) No, we are not planning or considering a COVID-19 vaccine requirement for independent living residents Other (please explain) Question Title * 8. What impact do you think a vaccine requirement for independent living residents would have on your sales and marketing efforts? Question Title * 9. Please share any additional thoughts, comments or questions on the issue of COVID-19 vaccine requirements for residents AND staff below: Done