Dementia Wellington 2018 Survey Dementia Wellington 2018 Survey Question Title * 1. Have you used any Dementia Wellington services in the last 12 months?(Services include contact with a Dementia Advisor, attending an education course, or participating in a Living Well With Dementia activity such as golf, yoga, or CST) YES - please go to Q2 NO - please go to Q4 OK Question Title * 2. If yes: Please tick all the services you have used in the past 12 months Home visit from a Dementia Advisor Phone call from a Dementia Advisor Attended a Living Well With Cognitive Impairment course Attended a Navigating Dementia course Attended a Dementia Essentials course Attended a Cog Cafe Participated in a Living Well With Dementia activity (such as golf or yoga) Other (please specify) OK Question Title * 3. Do you have any comments about the Dementia Wellington services you have used? Please write them in the box below, then continue to Q5. OK Question Title * 4. If no: Please let us know why you have not used any Dementia Wellington services I have not needed any services I did not know services were available The services available did not suit my needs The services were not available at the right time The services were not available at a convenient location I could not attend due to transport difficulties Other (please specify) OK Question Title * 5. Please tick all the ways you have received information from Dementia Wellington in the last 12 months Newsletter Email Phone call Dementia Wellington website (www.dementiawellington.org.nz) Dementia Wellington Facebook page Dementia Wellington Instagram Other (please specify) OK Question Title * 6. Would you say that information about Dementia Wellington’s services and fundraising activities is: Strongly agree Agree Neutral Disagree Strongly disagree Easy to find Easy to find Strongly agree Easy to find Agree Easy to find Neutral Easy to find Disagree Easy to find Strongly disagree Useful and relevant Useful and relevant Strongly agree Useful and relevant Agree Useful and relevant Neutral Useful and relevant Disagree Useful and relevant Strongly disagree Easy to understand Easy to understand Strongly agree Easy to understand Agree Easy to understand Neutral Easy to understand Disagree Easy to understand Strongly disagree OK Question Title * 7. Please tell us why you support Dementia Wellington(Please select all that apply) I use Dementia Wellington's services I know someone with dementia I like supporting local families I like knowing that my donation stays in the Wellington region Other: (Please enter your reasons here) OK Question Title * 8. How did you hear about Dementia Wellington and the services we offer?(Please select all that apply) GP or Practice Nurse Dementia Wellington Newsletter On-line search/website Friend or family member Hospital social worker or Needs Assessment Service Coordination (NASC) Other (please specify) OK Question Title * 9. Would you recommend Dementia Wellington to other people? Absolutely, without hesitation Yes, more than likely No, probably not Definitely not Can you say why you would or would not recommend Dementia Wellington? OK Question Title * 10. To ensure we have your correct information, please fill in your details below.Leave blank if you'd prefer your survey to remain anonymous Name: Address: Email: Phone number: OK THANK YOU FOR COMPLETING THE SURVEY. CLICK HERE TO SUBMIT.