Please help us to discover what information and support is needed for people living with dementia and carers in our community.

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1. Do you have, or do you care for a person with, a diagnosis of dementia or Alzheimers Disease? (Required.)

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2. When were you or the person you care for diagnosed? (Required.)

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3. Do you know any protective actions or behaviours to reduce the risk of dementia?

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4. Do you know where to go for information about Dementia?

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5. Are you aware of any local social groups for people with Dementia and their carers

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6. If you or your family have experienced of Dementia, do you feel well understood and accepted in your community,

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7. What is your age? (Required.)

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8. Any other comments or suggestions. (Required.)

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