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StateWashington
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What is/ are your personal experiences with dementia: (check all that apply)
  • I am or have been a care partner for someone who is living with dementia.
HTML BlockPlease select true or false for the follow statements below:
Dementia is a typical/ normal part of aging.False
Dementia is caused by diseases of the brain.True
Dementia is not just about having memory problems. It may affect thinking, communication, and ability to carry out everyday tasks.True
There are healthy habits you can adopt to reduce your risk of dementia.True
HTML BlockAfter 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.Agree
It is possible to live well and be engaged with your community with a dementia diagnosis.Strongly Agree
People living with dementia need to feel safe, respected, and included, just like anyone else.Strongly Agree
I am motivated to connect with people living with dementia.Strongly Agree
I am aware of tools and resources in my community to support people living with dementia.Agree
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.
  • Offer support to people living with dementia in your community.
  • Offer support to care partners of people living with dementia in your community.
  • Volunteer for an organization that offers services and supports for people living with dementia and their care partners.
  • 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.)
  • Get more information about dementia.
Please list three words that you associate with the word “dementia.”memory loss, fear, patience
Please list any comments or feedback about the Dementia Friends Session that you would like to share.

Hope to being this program into Coeur d'Alene, ID

Do we have permission to contact you for a 3-month follow-up survey?No