Objective To understand the current employment status of elderly ability assessors in China, and to provide references for the ongoing development of this profession.Methods From August to September 2023, a convenience sampling method was employed to conduct a questionnaire survey using a self-designed survey instrument targeting elderly ability assessors across nine provinces, autonomous regions, and municipalities in China.Results A total of 1,609 valid questionnaires were collected.Among the elderly ability assessors, 97.89% were female, 80.24% held a bachelor′s degree, and 97.33% had a background in nursing.Part-time assessors accounted for 68.37%, while 92.42% practiced within medical institutions.Additionally, 39.53% had less than one year of experience in geriatric assessment.Notably, 94.10% of assessors believed that conducting geriatric assessments is important and meaningful, and 88.32% felt that the profession meets societal development needs.Furthermore, 74.64% expressed a willingness to pursue this career.While 87.32% of assessors expressed training needs, only 28.65% had participated in formal elderly ability assessment training programs.A substantial majority (86.95%) preferred case-based learning approaches.Merely 2.24% possessed National Vocational Qualification Certificates or Skill Level Certifications in elderly ability assessment.Communication difficulties were predominantly reported by varied percentage of the assessors with dementia patients (80.61%),hearing-impaired older adults (73.40%), or speech-impaired older adults (67.81%).Despite 93.04% of assessors completing assessments within 60 minutes, 66.31% served fewer than 20 clients annually.Over 50% of the assessors demonstrated needs for career advancement opportunities, salary increment expectations, engagement in research/teaching activities.Conclusion Elderly ability assessors in mainland China are relatively confident about the development of their profession, but there is a need for more training opportunities to support their professional growth.