Dementia Module 10 Survey
When answering the questions below, please consider the module, toolbox, and other module materials presented.
OK
1.
What is your role in working with persons with dementia?
Family caregiver
Certified Family Home Provider
Case manager, care coordinator
Direct care worker
Health care provider
First responder
Community business
Other (please specify)
2.
Before
taking dementia training, Protecting Caregivers, I was aware that respite or taking a longer break from caregiver duties, is one of the most important decisions a care partner can make to stay healthy for the long term:
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
3.
After
taking dementia training, Protecting Caregivers, I am aware that respite or taking a longer break from caregiver duties, is one of the most important decisions a care partner can make to stay healthy for the long term:
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
4.
Before
taking dementia training, Protecting Caregivers, I was aware of the need to simply my life by letting go of perfectionism:
Strongly Disagree
Disagree
Neither Agree or disagree
Agree
Strongly Agree
Strongly Disagree
Disagree
Neither Agree or disagree
Agree
Strongly Agree
5.
After
taking dementia training, Protecting Caregivers, I am aware of the need to simply my life by letting go of perfectionism:
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
6.
After
taking dementia training, Protecting Caregivers, I understand the importance of taking care of my own needs and staying connected to others:
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
7.
How likely are you to use the information presented in this module?
Not likely
Somewhat likely
Likely
Very likely
Not likely
Somewhat likely
Likely
Very likely
Comments?
8.
How likely are you to recommend this module to others?
Not likely
Somewhat likely
Likely
Very likely
Not likely
Somewhat likely
Likely
Very likely
Comments?
Current Progress,
0 of 8 answered