Here is the survey designed by an elderly facility to gather feedback from residents' families. Please complete the following tasks:

Step 1: Review and identify what needs to be revised.

Step 2: Write down the objective of the survey

Step 3: Modify the survey questions to reflect your efforts in Steps 1 and 2.

Survey:

1. How often do you visit your relative? __ daily __ 3 to 4 times a week __ 2 to 3 times a week __ less than once a week

2. Please rate each aspect of care:

Excellent very good. good

Nursing quality 1 2 3

room cleanliness 1. 2. 3

3. Do you like our newsletters and phone call updates? ___ Yes __ No

4. Why do you think we are the best nursing home in the area? ________________

5. Please tell us your age: ___ under 25 ___ 25 to 35 ___36 to 50 ___ 51 to 65 ____ over 65