The Importance of Certain Factors in the Nursing Home Selection Process Survey
This survey provides you with a given statement regarding a hypothetical nursing home, and asks you to rank the importance of this statement in how important of a role it would play in your decision of selecting a nursing home for yourself or a loved one. The survey asks you to rank your top 5 most important considerations, in order so 1 refers to most important, and increasing rankings refer to decreasing importance. This is an entirely anonymous survey. All of your participation is voluntary, and you may stop at any time.

At the conclusion of this survey, please view the following link for important facts and statistics regarding the nursing home selection process!

file:///media/fuse/drivefs-b629aed92908fe5121bd26ea63d04c7b/root/Senior%20Research%20Pamphlet.pdf
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How would you self-identify your socioeconomic status? (As referring to annual income: low may be considered less than $40,000 a year whereas high can be considered greater than $70,000 a year) *
Do you have experience in the nursing home selection process? *
What gender do you identify with? *
How old are you? *
To mark your answer, place a ranking from 1 to 5 on the blank space provided following the questions you would most consider. There will be 10 questions left blank.
Location, closeness to family, access to public transportation and parking availability
Cleanliness, hygiene
Details on food: quality, ability to meet special dietary needs, nutritional value, choices
Recreational activities: variety, ability to engage residents in activities
Pricing, affordability, cost to resident/family
Visitation and outing policies
Availability of religious services, chapels and activities
Number of beds per room
Laundry policies
Ability to care for residents with special care needs (e.g., Alzheimer’s, dementia)
Safety, security and emergency policies for residents and visitors
Staff treatment of residents
Staff trainings, certifications, and background checks
Feedback from current/previous residents and families
Staffing levels or ratios: use of per diem workers; turnover, night/weekend staffing
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Do you consent to your results being analyzed in an independent research survey with full anonymous rights? No personal information will be recorded, just provided responses. If you do not want to put your name, you may state "Yes, I consent" *
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