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Dementia Friendly Programming Survey
Awareness:
*
Indicates required field
Have you or a family member been affected by dementia?
*
Are you a caregiver to someone who is diagnosed with dementia?
*
Are you familiar with any local services or programs available to people living with dementia or their caregivers?
*
Needs/Interests:
What types of library activities or programs would you find beneficial for people living with dementia (ex: memory games, books, discussions, art sessions, music)?
*
What level of cognitive ability would you like programming to be designed for?
*
Mild
Moderate
Severe
Accessibility and Support:
What concerns do you have about accessing library services if you or a loved one has dementia?
*
How important is it to have staff training specifically for interacting with people with dementia? (very important, somewhat important, not important)
*
very important
somewhat important
not important
Participation and Frequency:
How likely are you to attend a dementia-related program offered at the library?
*
very likely
likely
not likely
How often would you like to see dementia-related programs offered at the library?
*
weekly
monthly
quarterly
What time of day would be most convenient for you to attend a dementia-related program?
*
10am - 1pm
1pm - 5pm
5pm - 8pm
Additional Feedback:
Please provide any additional thoughts or suggestions.
*
Thank you for your participation.
Submit
Home
Events
Event Calendar
Newsletter
Catalogs
County-Wide Library Catalogue
HOOPLA
KANOPY
LIBBY
MCLS Databases
Our Collections
Adult
Teen
Kids
Genealogy & Local History
VIP Passes
Seed Library
Services
Reserve a Room
Mobile Printing
Copy, Print, and Fax
Internet Access
Library Cards
3D Print
About
Positions
Policies and Forms
Our Staff
Board of Trustees
Our Friends
Our History
How to Donate
Annual Reports