Dementia Module 7 Survey
When answering the questions below, please consider the module, toolbox, and other module materials presented.
OK
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)
2.
What was your level of awareness of the safety challenges that people with dementia may experience like judgement, sense of time and place, behavior, physical ability and senses before and after completing Dementia Module 7?
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
Before
taking dementia training, Planning for Safety and Success, I was aware of the safety challenges that people with dementia may experience like judgement, sense of time and place, behavior, physical ability and senses.
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
After
taking dementia training, Planning for Safety and Success, I am aware of the safety challenges that people with dementia may experience like judgement, sense of time and place, behavior, physical ability and senses.
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
3.
Please rate your awareness of the steps used to Dementia-proof areas of the home for safety, Before and After taking Module 7.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Before
taking dementia training, Planning for Safety and Success, I was aware of the steps used to Dementia-proof areas of the home for safety.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
After
taking dementia training, Planning for Safety and Success, I am aware of the steps used to Dementia-proof areas of the home for safety.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
4.
Please rate your awareness of the Reminder, Environment, Consistent Routines, Attention, Practice, Simple Steps (RECAP) tool used to help a person with dementia stay more independent and successful, Before and After taking Module 7.
Strongly Disagree
Disagree
Neither Agree or disagree
Agree
Strongly Agree
Before
taking dementia training, Planning for Safety and Success, I was aware of the Reminder, Environment, Consistent Routines, Attention, Practice, Simple Steps (RECAP) tool used to help a person with dementia stay more independent and successful.
Strongly Disagree
Disagree
Neither Agree or disagree
Agree
Strongly Agree
After
dementia training, Planning for Safety and Success, I am aware of the Reminder, Environment, Consistent Routines, Attention, Practice, Simple Steps (RECAP) tool used to help a person with dementia stay more independent and successful.
Strongly Disagree
Disagree
Neither Agree or disagree
Agree
Strongly Agree
5.
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?
6.
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?
Current Progress,
0 of 6 answered