Annual Alzheimer’s Disease Education & Training Conference Registration Survey Questions

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* 1. Contact Information

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* 2. Please tell us about yourself (check all that apply):

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* 3. Have you attended this annual conference in past years?

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* 4. How did you hear about this year's conference?

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* 5. RESPITE CARE FOR A LOVED ONE: There is no charge for onsite respite care, but we do need to know in advance to plan appropriately. Please let us know if you think you'll need onsite respite for your loved one. If you mark "yes" or "maybe", a staff member will contact you with more information.

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* 6. Do you wish to receive Continuing Education Credits for attending the conference? CE credits applicable for Florida Board of Nursing Home Adminstrators, Social Work, Marriage and Family Therapy, Mental Health Counseling, Nursing and Certified Nursing Assistants. Note: There is a $25 fee to receive continuing education credits.

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* 7. Registration fee is $10.00. Lunch is provided. Thank you for particpating in the Alzheimer’s Disease Education & Training Conference. We are looking forward to seeing you there. Please click HERE to register and type "Registered" in box below.

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