Dementia Wellington Survey 

Thank you for taking this short 10 question survey, it should only take a couple of minutes to complete.  We appreciate your feedback, please be honest - we can't improve if you don't tell us what is wrong!  Click OK to get started.

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* 1. Have you used any Dementia Wellington resources in the past 12 months?
(Resources include contact with a Dementia Advisor, attending an education course, or participating in a Living Well With Dementia activity such as Cog cafe, golf, Living Well Rongotai, Cognitive Stimulation Therapy)

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* 2. If yes: Please tick all the services you have used in the past 12 months

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* 3. Do you have any comments or suggestions about the Dementia Wellington resources you have used? 
Please write them in the box below, then continue to Q5.

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* 4. If no: Please let us know why you have not used any Dementia Wellington resources

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* 5. How did you initially hear about Dementia Wellington and the resources  we offer?
(Please select all that apply)

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* 6. To help us with our education programme planning please select what topics would interest you

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* 7. Would you recommend Dementia Wellington to other people?

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* 8. Please tell us some more about the response you selected in Q 7.  Do you have any suggestions about how we can do better?

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* 9. Would you like us to contact you when we need help with our fundraising activities (collections, events etc). If yes, please ensure you complete the contact details in Q10

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* 10. To ensure we have your correct information, please fill in your details below.
Leave blank if you'd prefer your survey to remain anonymous

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