Dementia Module 2 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.
What was your level of awareness of the triggers of a Flight, Fight and Freeze (3F) response before and after completing Dementia Module 2?
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
Before
taking the Providing Safe and Comfortable Care dementia skills training, I
was
aware that when a person with dementia feels unsafe their body triggers a Flight, Fight and Freeze (3F) response.
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
After
taking the Providing Safe and Comfortable Care dementia skills training, I
am
aware that when a person with dementia feels unsafe their body triggers a Flight, Fight and Freeze (3F) response.
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
3.
Please rate your confidence in abilities to control avoidable stressors Before and After taking Module 2.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Before
taking the Providing Safe and Comfortable Care dementia skills training, I
have
confidence in my ability to control avoidable stressors while providing care to a person with dementia.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
After
taking the Providing Safe and Comfortable Care dementia skills training, I
had
confidence in my ability to control avoidable stressors while providing care to a person with dementia.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Other (please specify)
4.
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?
5.
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 5 answered