Senior Resident Laundry Survey Respondent Details Question Title * 1. How would you describe your community? Independent Living Home Community Based Services Assisted Living Skilled Nursing Dedicated Memory Care Multiple categories, Life Plan or Continuing Care OK Question Title * 2. How many residents does your community serve? 5 1000 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 3. Which of the following best describes your role? Caregiver or Nurse Executive Director or Administrator VP or Director of Facilities Corporate Executive or Corporate Representative Owner Other (please specify) OK Question Title * 4. For what percentage of residents do you provide laundry services? 0 100 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 5. How much do you charge residents to provide laundry service per month? 0 100 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 6. What is your annual budget to replace resident items that are lost in the laundry? OK Question Title * 7. How many laundry rooms are in your facility (not including laundry machines in resident apartments)? 0 50 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 8. When setting up the system, how many laundry items would you need to track for each resident, on average? 0 200 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 9. After purchasing the system, how many additional or new items do you estimate each resident would need to add to the system each month, on average? (e.g., new clothes) 0 50 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 10. Please provide your Contact Information to be considered as a test site (optional). Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number OK DONE