Dementia Module 8 Survey When answering the questions below, please consider the module, toolbox, and other module materials presented. OK Question Title * 1. What is your role in working with persons with dementia? Family caregiver Certified Family Home Provider Case manager, care coordinator Direct care worker Health care provider First responder Community business Other (please specify) OK Question Title * 2. Before taking dementia training, Providing Comfort during ADLs, I had confidence in my ability to assist a person with dementia take a bath using the recommended steps (prepare the bathroom in advance, make the bathroom safe, help the person feel in control, include the person in the process, respect the person’s dignity, be gentle and flexible): Strongly Disagree Disagree Neither Agree Strongly Agree Strongly Disagree Disagree Neither Agree Strongly Agree OK Question Title * 3. After taking dementia training, Providing Comfort during ADLs, I have confidence in my ability to assist a person with dementia take a bath using the recommended steps (prepare the bathroom in advance, make the bathroom safe, help the person feel in control, include the person in the process, respect the person’s dignity, be gentle and flexible): Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree OK Question Title * 4. Before taking dementia training, I was aware how to assist a person with dementia get dressed by simplifying choices, organizing the process, choosing comfortable clothing, and remaining flexible: Strongly Disagree Disagree Neither Agree or disagree Agree Strongly Agree Strongly Disagree Disagree Neither Agree or disagree Agree Strongly Agree OK Question Title * 5. After taking dementia training, I am aware how to assist a person with dementia to get dressed by simplifying choices, organizing the process, choosing comfortable clothing, and remaining flexible: Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree OK Question Title * 6. After taking dementia training, I am confident in my ability to make mealtimes calm and comfortable and stay alert for signs of choking: Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree OK Question Title * 7. How likely are you to use the information presented in this module? Not likely Somewhat likely Likely Very likely Not likely Somewhat likely Likely Very likely Comments? OK Question Title * 8. How likely are you to recommend this module to others? Not likely Somewhat likely Likely Very likely Not likely Somewhat likely Likely Very likely Comments? OK DONE