Health Promoting Care Homes/Activity Network Forum Question Title * 1. We are considering merging the HPCH Learning Forum with the Activity Network Forum and holding 3 events per year. Would you find this useful? Yes No Question Title * 2. If yes, would you like: One Central location for all sessions? Events to rotate East, North South? Question Title * 3. Tick three topics you would like us to concentrate on this year End of life care/palliative care Activity for Late Stage Dementia Intergenerational Activities Good Life, Good Death, Good Grief Support for Families Physical Activity Maintaining Critical Skills Parkinsons Huntingtons Any other topics not covered by the above Question Title * 4. Have you attended any of the HPCH Learning Forums or Activity Network Forums Yes No If not, can you explain briefly why? Question Title * 5. If you have attended, did you find it useful to your role? Yes No If not, can you briefly explain why? Question Title * 6. Would it be useful to open the Forums to other sector members (ie not those specifically in care homes)? Yes No Any roles in particular Question Title * 7. Are you the best person from your organisation to attend Yes No If not, can you please advise who is and provide contact details? Question Title * 8. Can you please provide your own contact details in order to keep our database up to date? Name: Organisation: Email: Phone Number: Done