ASOS Post-Course Survey for ‘Building Dementia-Friendly Communities’

Thank you for learning more about dementia with the new online learning course, ‘Building Dementia-Friendly Communities’! It is our intention that these modules will benefit people affected by dementia in local Saskatchewan communities by inspiring and empowering individuals, organizations, and businesses to actively incorporate dementia friendly considerations in their everyday interactions.

We are seeking feedback about your experience with the course, its modules, and the potential impact you identify it may have for your community. Your feedback will ultimately benefit people affected by dementia in your community by assisting us in understanding how best to share, use, and promote this course in local settings.

Please take a few moments to share your valuable insights on this short (10-questions!) survey. The survey is estimated to take approximately 10 minutes to complete.

*All survey information is provided to the Alzheimer Society of Saskatchewan for the purposes of evaluating the online learning course and understanding the impact of its content. Completion of this survey is not required to access further information or support from the Alzheimer Society.*

Question Title

* 1. Contact Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Question Title

* 2. Which sector are you currently connected to/employed in? (*If multiple, please select the one that most influenced your perspective while taking this course)

Library

Public Transportation

Recreation

Restaurant (Service Industry)

Retail

Health Care

General community member

Municipal Government

Other (please specify)

Question Title

* 3. Which sector stream did you select to complete the course?

Public Transportation

Retail/Restaurant

Library/Recreation

Question Title

* 4. To what extent do you agree with the following statements about the course?

	Strongly Agree	Agree	Uncertain	Disagree	Strongly Disagree
The format is interactive and engaging	The format is interactive and engaging Strongly Agree	The format is interactive and engaging Agree	The format is interactive and engaging Uncertain	The format is interactive and engaging Disagree	The format is interactive and engaging Strongly Disagree
The examples provided are relevant, clear, and helpful	The examples provided are relevant, clear, and helpful Strongly Agree	The examples provided are relevant, clear, and helpful Agree	The examples provided are relevant, clear, and helpful Uncertain	The examples provided are relevant, clear, and helpful Disagree	The examples provided are relevant, clear, and helpful Strongly Disagree
The course is convenient to complete	The course is convenient to complete Strongly Agree	The course is convenient to complete Agree	The course is convenient to complete Uncertain	The course is convenient to complete Disagree	The course is convenient to complete Strongly Disagree
The process of accessing the courses was simple and easy to navigate	The process of accessing the courses was simple and easy to navigate Strongly Agree	The process of accessing the courses was simple and easy to navigate Agree	The process of accessing the courses was simple and easy to navigate Uncertain	The process of accessing the courses was simple and easy to navigate Disagree	The process of accessing the courses was simple and easy to navigate Strongly Disagree
The course answered questions I have about dementia	The course answered questions I have about dementia Strongly Agree	The course answered questions I have about dementia Agree	The course answered questions I have about dementia Uncertain	The course answered questions I have about dementia Disagree	The course answered questions I have about dementia Strongly Disagree
The course provided information I wouldn’t have accessed/learned otherwise	The course provided information I wouldn’t have accessed/learned otherwise Strongly Agree	The course provided information I wouldn’t have accessed/learned otherwise Agree	The course provided information I wouldn’t have accessed/learned otherwise Uncertain	The course provided information I wouldn’t have accessed/learned otherwise Disagree	The course provided information I wouldn’t have accessed/learned otherwise Strongly Disagree
I would recommend this course to others in my community/workplace	I would recommend this course to others in my community/workplace Strongly Agree	I would recommend this course to others in my community/workplace Agree	I would recommend this course to others in my community/workplace Uncertain	I would recommend this course to others in my community/workplace Disagree	I would recommend this course to others in my community/workplace Strongly Disagree

Question Title

* 5. Do you think the format of this course and its modules is suitable, accessible, and useful to your specific organization/community?

	Yes	Somewhat	No
Suitable	Suitable Yes	Suitable Somewhat	Suitable No
Accessible	Accessible Yes	Accessible Somewhat	Accessible No
Useful	Useful Yes	Useful Somewhat	Useful No

Please provide any further comments to help explain your answer above:

Question Title

* 6. Do you think the content of these modules is relevant, practical, and applicable to your specific organization/community?

	Yes	Somewhat	No
Relevant	Relevant Yes	Relevant Somewhat	Relevant No
Practical	Practical Yes	Practical Somewhat	Practical No
Applicable	Applicable Yes	Applicable Somewhat	Applicable No

Please provide any further comments to help explain your answer above:

Question Title

* 7. Did the course provide you with information that you and/or your organization/community could implement. Please select any and all that apply.

Immediately (beginning today or tomorrow)

In the short term (beginning 6 months – 1 year from now)

In the long term (greater than 1 year from now)

Uncertain/Not Applicable

Please provide any further comments to help explain your answer above, such as what information will be applied and how you think you may apply the information:

Question Title

* 8. Are there any challenges that you foresee affecting your ability to implement the information from this course into your organization/community?

Yes

Uncertain

Please provide any further comments to help explain your answer above:

Question Title

* 9. What was your primary motivation for completing this course? Please select any and all that apply.

I have a personal connection to dementia

I have a general interest in making my organization or community more dementia friendly

I took this course for my own professional development purposes, to better serve people affected by dementia in my daily work

I took this course to support my workplace/colleagues to better serve people affected by dementia

I took this course because I am currently part of dementia friendly initiatives in my community (i.e. a Dementia Friendly Community working group or committee)

I was mandated/required to complete this course by my workplace

Other (please specify)

Question Title

* 10. Do you have any other information about your experience with the course that you feel we should know?

Thank you very much for completing our survey! Your insights are valuable as we seek to share dementia friendly information with others and to work towards a more Dementia Friendly Saskatchewan! Should you have any questions about this survey or the course, please email: friends@alzheimer.sk.ca.