* 1. What is the business name and contact information?

* 2. Which of these applies to your business entrance?

* 3. What kinds of signage do you employ to warn of any physical barriers at the entrance?

* 4. What is the environment like inside your store?

* 5. How is merchandise displayed?

* 6. Do you offer any of the following services to older adults?

* 7. Do you offer senior discounts?

* 8. Are you willing to offer a senior discount card?

* 9. Do you have any other senior-friendly features?

* 10. Your ideas or comments for a Senior Friendly Business?

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