Dementia Friend Post-test There are more than 241,341 Dementia Friends across the country! Email(Required) (We will not share this email-this allows us to compare pre and post-test):City(Required)State(Required) AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Enter your state Zip Code(Sharing your ZIP code helps us credit your community. This question is optional.)OrganizationWhat is/ are your personal experiences with dementia: (check all that apply)(Required) I am living with dementia. I am or have been a care partner for someone who is living with dementia. I am a professional who works with people living with dementia. I know someone who is living with dementia. I do not have any experience with anyone living with dementia but want to learn more about it. Please select true or false for the follow statements below: Dementia is a typical/ normal part of aging.(Required)SelectTrueFalseDementia is caused by diseases of the brain.(Required)SelectTrueFalseDementia is not just about having memory problems. It may affect thinking, communication, and ability to carry out everyday tasks.(Required)SelectTrueFalseThere are healthy habits you can adopt to reduce your risk of dementia.(Required)SelectTrueFalseAfter this Dementia Friends session, on a scale from Strongly Disagree to Strongly Agree, please select the response you feel reflects your feelings about each statement. I am confident interacting and communicating with people living with dementia.(Required) Strongly Agree Agree Disagree Strongly Disagree It is possible to live well and be engaged with your community with a dementia diagnosis.(Required) Strongly Agree Agree Disagree Strongly Disagree People living with dementia need to feel safe, respected, and included, just like anyone else.(Required) Strongly Agree Agree Disagree Strongly Disagree I am motivated to connect with people living with dementia.(Required) Strongly Agree Agree Disagree Strongly Disagree I am aware of tools and resources in my community to support people living with dementia.(Required) Strongly Agree Agree Disagree Strongly Disagree Which of the following personal actions will you take to create a more dementia friendly and welcoming community for people living with dementia and their care partners? Place a check next to each action you will take. Select as many as you like.(Required) Offer support to people living with dementia in your community. Offer support to care partners of people living with dementia in your community. Connect with someone I know who is living with dementia. Volunteer for an organization that offers services and supports for people living with dementia and their care partners. Make environmental changes to my home and/or workplace to be more dementia friendly. Encourage my friends and family to become Dementia Friends/ become more dementia friendly. Incorporate dementia friendly practices into my next interaction with a person living with dementia. Educate others on effective communication strategies for interacting with people living with dementia. Join or start a campaign for change in my community (participating in local advocacy events, starting a dementia friendly campaign, etc.) Volunteer to participate in a clinical trial or research study. Ask my doctor for a cognitive assessment at my next physical exam. Get more information about dementia. Incorporate more brain healthy activities into my daily life. Select AllPlease list three words that you associate with the word “dementia.”(Required)Please list any comments or feedback about the Dementia Friends Session that you would like to share.(Required)Do we have permission to contact you for a 3-month follow-up survey?(Required)SelectYesNo