UNMC is exploring the possibility of starting a monthly employee caregiver and information group on site sponsored by the Alzheimer’s Association Midlands Chapter. Your opinion is important. Please take 7 minutes to give us your thoughts. Thank you!

Question Title

1. Have you or someone you know been a caregiver for someone?

Question Title

2. Are you currently or have you been a caregiver for a family member or friend with Alzheimer’s disease or another form of dementia? Select all that applies.

Question Title

3. Would you be interested in attending a caregiver support group?

Question Title

4. Select a day and time you would like the information meetings:

Question Title

5. Would you and/or family be interested in learning about the programs and
services available at the Alzheimer’s Association?

Question Title

6. Would you and your family be interested in attending caregiver educational series?

Question Title

7. What other information would you like to learn regarding Alzheimer’s disease, other dementias, or caregiving?

Question Title

8. Would you be interested in learning more about becoming a facilitator of a
caregiver support group?

Question Title

9. Would you like information as a Volunteer for the Chapter?

Question Title

10. Comments

T