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Assistive Technology for Dementia Survey
1.
Which of the following best describes your primary role?
Geriatrician/Medical specialist
Dementia specialist
Paid caregiver
Unpaid caregiver
Family member
Diagnostician
Nurse/Nurse practioner
Occupational therapist
Physical therapist
Social worker
Psychologist
Other (please specify)
2.
In which setting do you primarily provide dementia-related services?
Hospital/Acute care
Outpatient clinic
Home care
Long-term care facility
Adult day program
State/Community agency
Other (please specify)
3.
How long have you worked with people with dementia?
Less than 2 years
2 to 5 years
6 to 10 years
11 to 15 years
16 to 20 years
More than 20 years
4.
Please provide the zip code of your primary work setting.
5.
What type of organization employs you or contracts your services?
Nonprofit
For-profit
Government agency
Academic institution
Rehabilitation/Vocational rehabilitation agency
Volunteer
Home caregiver (or family/friend caregiver)
Other (please specify)
6.
Approximately how many clients do you serve/work with per month?
1 to 10
11 to 25
25 to 50
51 to 100
More than 100
7.
Do you routinely recommend or support assistive technology (AT) for your dementia clients? Some examples of AT include: mobility aids, grab bars, magnifiers, calendars and other organizers, medication dispensers, fall detection devices, wander alerts
Yes, regularly
Occasionally
Rarely
Never
8.
How familiar are you with Tools for Life, your state's Assistive Technology Act Program (ATAP)?
Very familiar
Somewhat familiar
Heard of it, but not familiar
Never heard of it
9.
If you are very familiar or somewhat familiar with Tools for Life, how have you engaged with us?
One-on-one consultation
Tour/Visit
Webinar
Training
Website
Social media
Community event
Other (please specify)
10.
What factors do you consider most important when selecting assistive technology devices for people with dementia?
11.
What are the challenges to adopting new assistive technology devices for people with dementia?
12.
In your experience, where do clinicians most often encounter gaps in training around AT use, and what formats or topics would be helpful for you?
13.
How do you stay informed about emerging AT innovations for dementia care?
14.
What resources or channels should Tools for Life develop to disseminate dementia resources?
15.
When evaluating the long-term impact of AT on function and engagement, what data or feedback would you like us to collect, and how would you use it to refine device recommendations?
16.
What AT have you used that should be available in the Tools for Life lending library?
17.
How can Tools for Life serve you better?
18.
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