Dementia Module 6 Survey

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)

Question Title

* 2. What was your level of awareness of the "Life Story " approach for personalized care for a person with dementia before and after completing Dementia Module 6?

	Strongly Disagree	Disagree	Neither	Agree	Strongly Agree
Before taking the Positive Redirection training, I was aware of the "Life Story" tool used to personalize care when providing care for a person with dementia.	Before taking the Positive Redirection training, I was aware of the "Life Story" tool used to personalize care when providing care for a person with dementia. Strongly Disagree	Before taking the Positive Redirection training, I was aware of the "Life Story" tool used to personalize care when providing care for a person with dementia. Disagree	Before taking the Positive Redirection training, I was aware of the "Life Story" tool used to personalize care when providing care for a person with dementia. Neither	Before taking the Positive Redirection training, I was aware of the "Life Story" tool used to personalize care when providing care for a person with dementia. Agree	Before taking the Positive Redirection training, I was aware of the "Life Story" tool used to personalize care when providing care for a person with dementia. Strongly Agree
After taking the Positive Redirection training, I am aware of the "Life Story" tool used to personalize care when providing care for a person with dementia.	After taking the Positive Redirection training, I am aware of the "Life Story" tool used to personalize care when providing care for a person with dementia. Strongly Disagree	After taking the Positive Redirection training, I am aware of the "Life Story" tool used to personalize care when providing care for a person with dementia. Disagree	After taking the Positive Redirection training, I am aware of the "Life Story" tool used to personalize care when providing care for a person with dementia. Neither	After taking the Positive Redirection training, I am aware of the "Life Story" tool used to personalize care when providing care for a person with dementia. Agree	After taking the Positive Redirection training, I am aware of the "Life Story" tool used to personalize care when providing care for a person with dementia. Strongly Agree

Question Title

* 3. Please rate your level of awareness of the 3R combined with Positive Physical approach while helping a person with dementia from Flight-Fight-Freeze reaction Before and After taking Module 6.

	Strongly disagree	Disagree	Neither agree nor disagree	Agree	Strongly agree
Before taking the Positive Redirection training, I was aware of the Repeat-Reframe-Redirect (3R) combined with Positive Physical approach used to help a person with dementia from a Flight-Fight-Freeze reaction.	Before taking the Positive Redirection training, I was aware of the Repeat-Reframe-Redirect (3R) combined with Positive Physical approach used to help a person with dementia from a Flight-Fight-Freeze reaction. Strongly disagree	Before taking the Positive Redirection training, I was aware of the Repeat-Reframe-Redirect (3R) combined with Positive Physical approach used to help a person with dementia from a Flight-Fight-Freeze reaction. Disagree	Before taking the Positive Redirection training, I was aware of the Repeat-Reframe-Redirect (3R) combined with Positive Physical approach used to help a person with dementia from a Flight-Fight-Freeze reaction. Neither agree nor disagree	Before taking the Positive Redirection training, I was aware of the Repeat-Reframe-Redirect (3R) combined with Positive Physical approach used to help a person with dementia from a Flight-Fight-Freeze reaction. Agree	Before taking the Positive Redirection training, I was aware of the Repeat-Reframe-Redirect (3R) combined with Positive Physical approach used to help a person with dementia from a Flight-Fight-Freeze reaction. Strongly agree
After taking the Positive Redirection training, I am aware of the Repeat-Reframe-Redirect (3R) combined with Positive Physical approach used to help a person with dementia from a Flight-Fight-Freeze reaction.	After taking the Positive Redirection training, I am aware of the Repeat-Reframe-Redirect (3R) combined with Positive Physical approach used to help a person with dementia from a Flight-Fight-Freeze reaction. Strongly disagree	After taking the Positive Redirection training, I am aware of the Repeat-Reframe-Redirect (3R) combined with Positive Physical approach used to help a person with dementia from a Flight-Fight-Freeze reaction. Disagree	After taking the Positive Redirection training, I am aware of the Repeat-Reframe-Redirect (3R) combined with Positive Physical approach used to help a person with dementia from a Flight-Fight-Freeze reaction. Neither agree nor disagree	After taking the Positive Redirection training, I am aware of the Repeat-Reframe-Redirect (3R) combined with Positive Physical approach used to help a person with dementia from a Flight-Fight-Freeze reaction. Agree	After taking the Positive Redirection training, I am aware of the Repeat-Reframe-Redirect (3R) combined with Positive Physical approach used to help a person with dementia from a Flight-Fight-Freeze reaction. Strongly agree

Question Title

* 4. 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?

Question Title

* 5. 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?