House of Memories Dementia Awareness Workshop - External

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* 1. Date Attended

Date

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* 2. How would you describe your gender?

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* 3. Age Group

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* 4. How would you define your ethnic origin?

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* 5. Before today, have you ever used or taken part in any of the following House of Memories activities?

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* 6. What is your interest in dementia (please feel free to leave blank if you would prefer not to say)?

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* 7. Please consider the different aspects of the workshop you attended today and tell us if they met your expectations

  Exceeded expectation Met expectation Below expectation
Venue
Workshop facilitator
Films
App session

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* 8. Thinking about your role as a carer, family or friend, which aspects of the workshop did you find helpful?

  Very helpful Fairly helpful Neutral Less helpful Not helpful
Learning about dementia through the films
Learning about House of Memories Resources (Suitcases, Memory Walks, etc)
Talking to others about your experiences
Listening to other people's experiences

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* 9. Is there anything else you would like to provide feedback on?

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* 10. Reflecting on the workshop, how do you think it might help you and the person living with dementia in the future?

  Completely agree Agree Neutral Disagree Strongly disagree
I feel optimistic about my role as carer
I feel confident in my role as a carer
I feel less isolated in my role as a carer
I have a greater understanding of dementia

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* 11. Please complete these at the start of the session by highlighting the number most relevant to you for each statement

  Completely agree Agree Neutral Disagree Strongly disagree
I feel optimistic about my role as carer
I feel confident in my role as carer
I feel less isolated in my role as carer
I have a greater understanding of dementia

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