The following questions help the Alzheimer's Association meet the needs of the community. Your answers will be kept confidential to the Alzheimer's Association.

* 1. Which of the programs and services offered by the Alzheimer's Association have you used or referred families to?

* 2. Do you have information at your place of business about Alzheimer's disease or the Alzheimer's Association?

* 3. How can the Alzheimer's Association do a better job of marketing our mission, programs and services?

* 4. From your point of view, what do you consider the greatest unmet or met need(s) of caregivers that confide in or consult you?

* 5. How can we help you serve the needs of individuals with dementia?

* 6. Do you see clients that have Alzheimer's disease or another type of dementia who may be in need of our support services?

* 7. Please provide your contact information, to receive updates about programs and services offered by the Alzheimer's Association:

* 8. What is your preferred method of contact?