GEM Assessment

This multi-page assessment has forty questions. The bar below will help you to track your progress.

Gerontological Environment Modifications – Environmental Assessment (GEM):  to Improve Quality of Life and Safety in Living/Work Areas

» Download the GEM Assessment as a PDF document

Please take your notes on a printed copy of the PDF (above) or in a separate document, then enter your findings in the online form below at a later date.

Step 1 of 6

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  • *Adapted (2016) by Joan Jeffri, Director, Research Center for Arts and Culture at The Actors Fund, and Patricia Miller, EdD, OTR, Performing Arts Legacy Consultant/Faculty, Programs in Occupational Therapy, Columbia University Medical Center, from “GEM,” Author: Rosemary Bakker, MS, ASID, Director, Project GEM, Weill Medical College of Cornell University, http://cornellaging.org/gem
  • Please take notes on a printed version of the PDF or in a separate document, then enter your findings in this online form at a later date. If you fill this form out online on the fly, you risk losing data.
  • Performer Info

  • Fellows

    Please provide name & email for each below ...
  • Accessibility

  • Suggestions: Remove doorsill, door frame, door, or clutter, Install Offset hinges, re-arrange furniture, other
  • Please log the date(s) and identify corrections made. If corrections were not made, please indicate why not, e.g. refusal, lack of $, or other.
  • Flooring

  • Suggestions: Tape rugs to floor, purchase non-skid pad, outlets installed or repaired, other
  • Please log the date(s) and identify corrections made. If corrections were not made, please indicate why not, e.g. refusal, lack of $, or other.
  • Suggestions: No wax or non-skid wax used, flooring repair, new flooring, other.
  • Please log the date(s) and identify corrections made. If corrections were not made, please indicate why not, e.g. refusal, lack of $, or other.
  • Suggestions: Tape rugs to floor, purchase non-skid pad, remove rugs, other.
  • Please log the date(s) and identify corrections made. If corrections were not made, please indicate why not, e.g. refusal, lack of $, or other.
  • Suggestions: Tape stairs and make slip resistant
  • Please log the date(s) and identify corrections made. If corrections were not made, please indicate why not, e.g. refusal, lack of $, or other.
  • Suggestions: Increase/repair lighting, add railings
  • Please log the date(s) and identify corrections made. If corrections were not made, please indicate why not, e.g. refusal, lack of $, or other.
  • Suggestions: Flooring removed/repaired, other
  • Please log the date(s) and identify corrections made. If corrections were not made, please indicate why not, e.g. refusal, lack of $, or other.