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Younger Onset Dementia Survey

DFCThe Dementia Friendly Communities Port Macquarie's current project is “Understanding the social needs of people living with Younger Onset Dementia and their Carers.”

If you can assist us, please take a few minutes to complete the survey.
Thank you for your support!

If you have any issues completing the survey,  please call Gai on 0402826151.
Find out more about Dementia Friendly Community Port Macquarie here: www.dementiafriendlypmq.com.au
1.Age group(Required.)
2.Your location(Required.)
3.Gender(Required.)
4.Do you/did you, or the person you are caring for, have a diagnosis of younger onset dementia?(Required.)
5.Do you have a carer/support person?(Required.)
6.If you haven't been diagnosed, do you have any concerns about having cognitive impairment?(Required.)
7.Has your diagnosis had an impact on any of the following?(Required.)
8.Do you receive a service package?(Required.)
9.What would be the barriers for you to participate in activities?(Required.)
10.What services/activities specifically for people living with Younger Onset Dementia and their carers would make a difference to you?(Required.)
Current Progress,
0 of 10 answered