Dementia Module 1 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 with "Up the Pyramid" before and after Completing Module 1?
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
Before
taking the Introduction to Dementia Skills training, I
was
aware that as we climb the Pyramid of survival, security, belonging, esteem and fulfillment, quality of life increases when care for people with dementia.
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
After
taking the Introduction to Dementia Skills training, I
am
aware that as we climb the Pyramid of survival, security, belonging, esteem and fulfillment, quality of life increases when care for people with dementia.
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
3.
Please rate your level of knowledge before and after completing Module 1.
Slightly knowledgeable
Moderately knowledgeable
Very knowledgeable
Before
taking the Introduction to Dementia Skills training, at what level would you rate your knowledge of caring for people with dementia
Slightly knowledgeable
Moderately knowledgeable
Very knowledgeable
After
taking the Introduction to Dementia Skills training, at what level would you rate your knowledge of caring for people with dementia
Slightly knowledgeable
Moderately knowledgeable
Very knowledgeable
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
