Lost Memories (Telenovela) Evaluation This survey should take about 10 minutes to complete. You can enter a raffle for a $50 Amazon gift once you're done! Question Title * 1. Which telenovela episode(s) did you watch? (check all that apply) Episode 1: Happy birthday Episode 2: What's going on? Episode 3: Making progress Episode 4: Coming together Question Title * 2. Watching this telenovela helped you … Strongly disagree Disagree Neither Agree Strongly agree Understand what Alzheimer’s disease is Understand what Alzheimer’s disease is Strongly disagree Understand what Alzheimer’s disease is Disagree Understand what Alzheimer’s disease is Neither Understand what Alzheimer’s disease is Agree Understand what Alzheimer’s disease is Strongly agree Recognize the signs of Alzheimer’s disease Recognize the signs of Alzheimer’s disease Strongly disagree Recognize the signs of Alzheimer’s disease Disagree Recognize the signs of Alzheimer’s disease Neither Recognize the signs of Alzheimer’s disease Agree Recognize the signs of Alzheimer’s disease Strongly agree Understand the process of getting a diagnosis Understand the process of getting a diagnosis Strongly disagree Understand the process of getting a diagnosis Disagree Understand the process of getting a diagnosis Neither Understand the process of getting a diagnosis Agree Understand the process of getting a diagnosis Strongly agree See how the disease affects the whole family See how the disease affects the whole family Strongly disagree See how the disease affects the whole family Disagree See how the disease affects the whole family Neither See how the disease affects the whole family Agree See how the disease affects the whole family Strongly agree Question Title * 3. In thinking about your feelings BEFORE watching this telenovela: (Required.) Not at all A little Somewhat Often A lot Were the behaviors of someone with Alzheimer’s disease embarrassing? Were the behaviors of someone with Alzheimer’s disease embarrassing? Not at all Were the behaviors of someone with Alzheimer’s disease embarrassing? A little Were the behaviors of someone with Alzheimer’s disease embarrassing? Somewhat Were the behaviors of someone with Alzheimer’s disease embarrassing? Often Were the behaviors of someone with Alzheimer’s disease embarrassing? A lot Were the behaviors of someone with Alzheimer’s disease easy to criticize? Were the behaviors of someone with Alzheimer’s disease easy to criticize? Not at all Were the behaviors of someone with Alzheimer’s disease easy to criticize? A little Were the behaviors of someone with Alzheimer’s disease easy to criticize? Somewhat Were the behaviors of someone with Alzheimer’s disease easy to criticize? Often Were the behaviors of someone with Alzheimer’s disease easy to criticize? A lot Question Title * 4. AFTER watching this telenovela: (Required.) Not at all A little Somewhat Often A lot NOW, would you be embarrassed by the behaviors of someone with Alzheimer’s disease? NOW, would you be embarrassed by the behaviors of someone with Alzheimer’s disease? Not at all NOW, would you be embarrassed by the behaviors of someone with Alzheimer’s disease? A little NOW, would you be embarrassed by the behaviors of someone with Alzheimer’s disease? Somewhat NOW, would you be embarrassed by the behaviors of someone with Alzheimer’s disease? Often NOW, would you be embarrassed by the behaviors of someone with Alzheimer’s disease? A lot NOW, would you be critical of the behaviors of someone with Alzheimer’s disease? NOW, would you be critical of the behaviors of someone with Alzheimer’s disease? Not at all NOW, would you be critical of the behaviors of someone with Alzheimer’s disease? A little NOW, would you be critical of the behaviors of someone with Alzheimer’s disease? Somewhat NOW, would you be critical of the behaviors of someone with Alzheimer’s disease? Often NOW, would you be critical of the behaviors of someone with Alzheimer’s disease? A lot Question Title * 5. Would you recommend watching this telenovela to others? Yes No Question Title * 6. Do you know someone with memory loss or that has Alzheimer’s or Dementia? Yes No Next
