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)
Communication and Behavior Response
Planning after an Alzheimer's Diagnosis
The Basics of Alzheimer's
Know the 10 Signs of Dementia
Brain Health / Risk Reduction
Legal and Financial Issues
Stress Management
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
Midday
Afternoon
Evening
Monday
Monday Morning
Midday
Afternoon
Evening
Tuesday
Tuesday Morning
Midday
Afternoon
Evening
Wednesday
Wednesday Morning
Midday
Afternoon
Evening
Thursday
Thursday Morning
Midday
Afternoon
Evening
Friday
Friday Morning
Midday
Afternoon
Evening
Saturday
Saturday Morning
Midday
Afternoon
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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