Skip to content
LeadingAge Workplace Violence Survey
This survey should take about 2 minutes to complete.
This anonymous, voluntary survey will help inform our members about safety and security issues in our members' workplaces.
OK
1.
How many reported acts of violence has your community experienced in 2017?
0
1
2
3 or more
We don’t have records
2.
What types of workplace violence has your community experienced in 2017? Check all that apply.
Resident/patient against caregiver/staff
Resident/patient against resident/patient
Visitor/outsider against resident/patient
Visitor/outsider against caregiver/staff
Caregiver/staff against resident/patient or visitor
Caregiver/staff against another caregiver/staff
Other (please specify)
3.
Were weapons used in any of the attacks?
Yes
No
4.
What prevention/protection methods are used in your community? Check all that apply.
Armed Guards
Unarmed Guards
Locked doors/limited access
Guests are greeted and required to sign in
Weapons exclusion policies
Secure parking facilities – lights fences and gates, buddy system
Other (please specify)
5.
Do you believe your physical facility properly protects your residents and staff from violence?
Yes
No
6.
What mitigation methods are used in your community? Check all that apply.
Diffusion/confrontation skills training
Alarm systems/hot buttons
Electronic surveillance
7.
In your opinion, does inadequate staffing increase the threat of violence in your community?
Yes
No
8.
During the past 12 months, how many hours of training specific to workplace violence prevention did EACH employee receive?
None
<2 hours
2 hours or more
9.
When is the last time you had a drill on workplace violence?
Last three months
Last year
Last 2 years
Longer ago than that/never
10.
In what type of setting do you work? Check all that apply.
Life Plan Community
Assisted Living
Skilled Nursing
Affordable Housing
Home and Community Based Services
Other (please specify)
11.
If you would like a copy of the research results, or more information on all-hazards emergency preparedness, please provide your contact information below. Thank you!
Your Name
Community Name
City/Town
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
Email Address
12.
Thank you. If you wish to comment further, please do so here. For more information on preparedness, see our website at https://www.yourcrisisteam.com .
Current Progress,
0 of 12 answered