Dementia Module 8 Survey

1.What is your role in working with persons with dementia?

Other (please specify)

2.Before taking dementia training, Providing Comfort during ADLs, I had confidence in my ability to assist a person with dementia take a bath using the recommended steps (prepare the bathroom in advance, make the bathroom safe, help the person feel in control, include the person in the process, respect the person’s dignity, be gentle and flexible):

3.After taking dementia training, Providing Comfort during ADLs, I have confidence in my ability to assist a person with dementia take a bath using the recommended steps (prepare the bathroom in advance, make the bathroom safe, help the person feel in control, include the person in the process, respect the person’s dignity, be gentle and flexible):

4.Before taking dementia training, I was aware how to assist a person with dementia get dressed by simplifying choices, organizing the process, choosing comfortable clothing, and remaining flexible:

5.After taking dementia training, I am aware how to assist a person with dementia to get dressed by simplifying choices, organizing the process, choosing comfortable clothing, and remaining flexible:

6.After taking dementia training, I am confident in my ability to make mealtimes calm and comfortable and stay alert for signs of choking:

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?