Alzheimer's Association Community Education
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1.
1
. Which of the following dementia-care topics interest you?
(please check your top 3 choices)
Which of the following dementia-care topics interest you? (please check your top 3 choices)
Planning after an Alzheimer's Diagnosis
The Basics of Alzheimer's
Stress Management
Know the 10 Signs of Dementia
Legal and Financial Issues
Communication and Behavior Response
Brain Health / Risk Reduction
Other (please specify)
2
. What would be the most convenient program length?
What would be the most convenient program length?
1 hour
1 and 1/2 hours
2 hours
Half Day
Full Day
3
. In general, when is the most convenient time for you to attend an educational program? (please check all that apply)
Morning
Midday
Afternoon
Evening
Sunday
*
In general, when is the most convenient time for you to attend an educational program? (please check all that apply) Sunday Morning
Sunday Midday
Sunday Afternoon
Sunday Evening
Monday
Monday Morning
Monday Midday
Monday Afternoon
Monday Evening
Tuesday
Tuesday Morning
Tuesday Midday
Tuesday Afternoon
Tuesday Evening
Wednesday
Wednesday Morning
Wednesday Midday
Wednesday Afternoon
Wednesday Evening
Thursday
Thursday Morning
Thursday Midday
Thursday Afternoon
Thursday Evening
Friday
Friday Morning
Friday Midday
Friday Afternoon
Friday Evening
Saturday
Saturday Morning
Saturday Midday
Saturday Afternoon
Saturday Evening
4
. Which location would be most convenient for you to attend an educational program?
Which location would be most convenient for you to attend an educational program?
Bay Area
Beaumont/Port Arthur
Brazoria County
Bryan/ College Station
Central Houston
Fort Bend County
Galveston
Katy/West Houston
Montgomery County
Nacogdoches/Lufkin
North Houston
South Houston
Other (please specify)
5
. If you would like us to contact you about upcoming programs in your area, please provide your email address below.
If you would like us to contact you about upcoming programs in your area, please provide your email address below.
Thank you for sharing your thoughts! Your feedback will enable us to better serve our community.
For more information, please contact: Katie.Olson@alz.org.
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