The statements developed for the concept map were subsequently framed as questions, and questionnaires were developed for both third party observation and client self-report. Third party observation included completion of the questionnaire by an elder abuse investigator, based on his or her understanding of the client’s report, his or her observations while conducting the investigation and any information obtained from others, including the alleged abuser. Nine focus groups were convened to review the wording of items and the formats of the questionnaires. Six focus groups were conducted with 44 staff members from elder abuse investigation/treatment provider agencies. Three groups comprised 20 consumers. The participants in the staff focus groups consisted of either naturally formed work groups (such as a team of elder abuse staff) or were participants in our earlier study. Groups of clients were formed based on having been served by the same agency. The meetings were held at several local, nonprofit, agency, and business locations. The focus group process consisted of a review of the PA items that were compiled. Participants were asked to read each item and evaluate its relevance to PA, its wording, and its clarity. They were also asked to review the ordering and formatting of the questions and to suggest additional items. The final items are provided in Table A1.