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Alzheimer Society of Manitoba Education Events Survey March 2022
We value your FEEDBACK! Please complete the survey below. Thank you!
1.
I have attended: (check all that apply)
Living with Dementia: First Steps (Saturday Workshops)
Family Education: Next Steps (1 hour sessions)
Care4u conference
Other (please specify)
*
2.
In attending the education sessions:
(Required.)
Strongly agree
Agree
Disagree
Strongly disagree
My knowledge of dementia and its progression was enhanced
Strongly agree
Agree
Disagree
Strongly disagree
My knowledge of legal and financial planning has increased
Strongly agree
Agree
Disagree
Strongly disagree
My knowledge of caregiving strategies has increased (ie communicating with the person with dementia, understanding responsive behaviours)
Strongly agree
Agree
Disagree
Strongly disagree
My knowledge of ways to assist the person I care for with activities of daily living has increased (ie bathing, dressing, leisure activities)
Strongly agree
Agree
Disagree
Strongly disagree
My knowledge of health system/services has increased (ie Adult Day Program, Home Care, Paneling for Long Term Care)
Strongly agree
Agree
Disagree
Strongly disagree
My knowledge of community based services has increased (ie Lifeline, Meals on Wheels, ERIK Kit)
Strongly agree
Agree
Disagree
Strongly disagree
My knowledge of self-care strategies has increased
Strongly agree
Agree
Disagree
Strongly disagree
My knowledge of ways to advocate for myself and the person I care for has increased
Strongly agree
Agree
Disagree
Strongly disagree
*
3.
By attending, I have been able to develop a plan of action that will help me in my situation:
(Required.)
Strongly agree
Agree
Disagree
Strongly disagree
*
4.
By attending I have learned about the Alzheimer Society of Manitoba services: (check all that apply)
(Required.)
I have learned about the service and am using it
I have learned about the service but I am not yet using it
I am not aware of this service
Supportive Counselling
I have learned about the service and am using it
I have learned about the service but I am not yet using it
I am not aware of this service
Support Group for People with Dementia
I have learned about the service and am using it
I have learned about the service but I am not yet using it
I am not aware of this service
Support Group for Caregivers
I have learned about the service and am using it
I have learned about the service but I am not yet using it
I am not aware of this service
Minds in Motion
I have learned about the service and am using it
I have learned about the service but I am not yet using it
I am not aware of this service
Community Programs (at the WAG, MB Museum, Assiniboine Zoo, Fort Whyte Alive)
I have learned about the service and am using it
I have learned about the service but I am not yet using it
I am not aware of this service
Care4u Conference
I have learned about the service and am using it
I have learned about the service but I am not yet using it
I am not aware of this service
Other Education Programs
I have learned about the service and am using it
I have learned about the service but I am not yet using it
I am not aware of this service
MedicAlert Safely Home
I have learned about the service and am using it
I have learned about the service but I am not yet using it
I am not aware of this service
E-newsletter
I have learned about the service and am using it
I have learned about the service but I am not yet using it
I am not aware of this service
Other (please specify)
5.
I have attended education events:
for over 5 years
between 3 - 5 years
between 1 - 3 years
less than a year
6.
I have attended this many education sessions within the last 2 years:
1 - 3
4 - 6
7 -9
10 or more
7.
I became aware of the education session/s through: (check all that apply)
An Alzheimer Society staff encouraged me to attend
Alzheimer Society e-mail
Alzheimer Society e-newsletter
Newspaper
Home Care Case Coordinator
Mental Health for Older Adults staff
Family Member or Friend
Other (please specify)
8.
I would recommend the education session/s to others:
Yes
Maybe
No
9.
Please share a tip or strategy that you have learned and applied to your caregiving role as a result of your participation in an education session/s:
*
10.
Which format do you prefer for future education sessions?
(Required.)
Virtual via Zoom
In-person
Mixed (some virtual, some in-person)
Comment:
11.
Topics that I would like to see presented at future sessions:
12.
I am a:
Person with cognitive change/dementia
Primary caregiver of spouse with dementia
Primary caregiver of a parent with dementia
Primary caregiver of a person with dementia who is not a family member
Family member of a person with dementia but I am not the primary caregiver
A friend of a person with dementia
A healthcare worker
13.
I am a:
Female
Male
I identify as:
I identify as:
14.
I am:
Below 35 years old
35 – 44
45 – 54
55 – 64
65 – 74
75 and over
15.
I have been caregiving for:
Less than 1 yr
1 – 2 years
3 – 5 years
6 – 9 years
10 or more years
16.
If you wish to be connected to our client support team, please enter your name and contact information here:
17.
To enter the raffle draw, please provide your name, email and phone number here: