Polk County Dementia Friendly Survey Question Title * 1. Have you had personal experience with someone with dementia? Yes No Question Title * 2. Have you had professional experience with someone with dementia? Yes No Question Title * 3. What are the top 1-5 strengths you see in this community for addressing the needs of the people living with dementia and their families? Question Title * 4. What are the top 1-5 gaps you see in this community for addressing the needs of people living with dementia and their families? Question Title * 5. Where do you refer community members who may show signs of dementia? Question Title * 6. Our community currently has adequate awareness of the resources that can help support people with dementia and their families? Agree Neither agree nor disagree Disagree Question Title * 7. Indicate your level of knowledge of the 10 warning signs of dementia. A great deal A lot A moderate amount A little None at all Next