Thanks for your willingness to help us evaluate an elder candidate at Riverview. Your honest answers are a critical part of our assessment process and will be compiled with others to keep your responses confidential. We ask that you fill out the contact information below so that we can reach out to you directly if we have any follow-up questions. If you answer “no” to any of the questions, there will be an opportunity for you to give more details at the end of the survey.