Post-New Dementia Diagnosis Workshop Survey What is today’s date? * (MM/DD/YYYY) Enter your birthday * (MM/DD/YYYY) First * First Last Last Phone Email * My understanding of dementia is * Excellent Good Fair Poor My understanding of where to find help and resources related to a dementia diagnosis is * Excellent Good Fair Poor My level of stress as it relates to knowing how to manage a dementia diagnosis is * High Moderate Low No stress How has participating in this workshop made a difference in your life? Are there topics that were not addressed that you wanted to discuss? If so, list your suggested topics below. Are there changes to the workshop that you would suggest? If so, list changes below. Are there other comments you want to share about the workshop? If so, list comments below. If you are human, leave this field blank. Submit
