Alzheimer & Parkinson Association Program Survey Question Title * 1. I am a: Caregiver Individual with Parkinson's Disease Individual with Alzheimer's Disease or other dementia Other (please specify) Question Title * 2. Which of the following programs do you currently participate in (check all that apply): Social Respite Group - Vero Social Respite Group - Sebastian Social Respite Group - Gifford Social Respite Group - Island Balance Class Yoga Class PD Support Group Men's Support Group COPES Group VBMA Movement and Dance Program AD Support Group Qi Gong Movin and Groovin PD Exercise Group Land and Sea TrembleClefs Educational Classes Project Lifesaver Other (please specify) Question Title * 3. As a caregiver (if applicable), do you find our programs help you to better cope with your situation? Yes No Not Applicable Can you provide a "testimonial" statement on how our programs have helped you? Question Title * 4. As a participant (if applicable), do you find our programs help you to better cope with the disease process? Yes No Not Applicable Question Title * 5. Do you find our programs to be at convenient times for you? Always Sometimes Never What times would be better? Question Title * 6. Do you find our programs to be at convenient locations for you? Always Sometimes Never Could you provide us with your address strictly for informational purposes so that we can better provide services in your area of the county? Question Title * 7. What recommendations would you have for us to improve our current programs? Question Title * 8. If we were to offer them, would you be interested in any of the following programs? (Check all that apply) Evening Support Groups Evening Social Respite Evening Educational Classes South County Programs Other None of the Above Question Title * 9. What additional programs or services would you like to see added to our calendar? Question Title * 10. How likely is it that you would recommend this organization to a friend or colleague? Not at all likely Extremely likely 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 100% of survey complete. Done