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LeadingAge Member Snap Survey: COVID-19 Status

As we continue to fight for you and all our members on the Hill and in the media, it’s critical that we understand the ever-changing state of your needs. Please complete the following fast questions to support our efforts. You individual responses will not be shared.
1.What is the status of COVID-19 cases among residents/clients? (all that apply)
2.What is the status of COVID-19 cases among staff/care workers? (all that apply)
3.What is the status of your COVID-19 testing? (all that apply)
4.How long do you have capacity to implement your testing plan?
5.Please indicate the status of your supplies.
Enough for more
than a month
Enough for
two weeks
Enough for
one week
Less than
one week
Do not have
Do not need
N95 masks
Surgical masks
Eye protection, including face shields or goggles
Gowns
Gloves
Alcohol-based hand sanitizer
6.Please indicate the status of government assistance for your organization.
Received
Did Not Receive
Not Eligible
PPE supplies from FEMA
Funds from the federal government
Funds from your state or local government
7.Have you received FEMA PPE supplies that were expired or otherwise not fit for use?
8.Without further assistance, for how many months do you estimate you can support COVID-related expenses?
9.Provider Type (select all that apply):
10.Contact Information