Survey

Share your comments

Together We can Build a Positive Care Experience.

Thank you for taking the time to fill out our survey. Please be as honest as you can - you have the option to keep this anonymous if you would like.

What best describes your interaction with Dementia Care Solutions?(Required)

Met with a Dementia Care Consultant

Attended an Event or Workshop

Who provided the Service?

Sheri

Audrey

Both (extra lucky!)

What was the name of the event?(Required)

If you do not remember the name, what was the location you attended the event at?

Date of the Event

How would you rate the event overall? 1-5 (5 being best)(Required)

1 (I did not find value in this event)

2

3

4

5 (I found so much value in this event)

How likely are you to attend future events or refer others to do so? (1-5, 5 being most likely)(Required)

1 (I am not interested nor would recommend)

2

3

4

5 (I would highly recommend this to others)

What did you learn from the event that you want to try?

What is something you feel we should change?

How many sessions did you have with the consultant?

Reasons for ending

I am still working with a Dementia Care Consultant

The skills I learned were effective

The challenging situation stopped

I had no more needs for support

The support was not what I expected

Other/More (Please comment below)

Please share more about your thoughts

Did you gain a better understanding of dementia and brain change?

Do you feel better equipped with communication strategies?

Do you feel better equipped to interpret the unmet need being communicated?

Did you get a chance to practice new skills?

Yes, thoroughly

Yes, somewhat but need more practice

No I have not practiced yet

No, and I do not plan to practice

Was practicing helpful?

Did you feel supported in planning for the next steps?

How could the consultant have improved the service?

Please share more about your thoughts:

Can we use your feedback in our future marketing materials?(Required)

Dementia can be a tough subject to think about, and it is helpful to share our experiences with others to breakdown the stigma around brain changes. We would love to include feedback on our website, flyers, and in social media posts, etc so other's may be able to relate and find value in attending future events.

Yes

No

If we use your feedback how would you prefer that you are identified?(Required)

Full Name

First Name Only

First Name + Last Initial

Anonymous

Other (Please comment below)

Preferred to be Identified as:

Would you like to be added to our monthly e-newsletter?(Required)

We send out a monthly e-newsletter highlighting upcoming events and dementia care tips.

Yes

No

I already receive your emails

Name

First Last

Email(Required)

“Extremely helpful on so many levels. I especially liked comparing reversible and irreversible memory loss, because we’re all on this continuum as we age.

I feel empowered to be proactive in my approach to age for me my husband.”

“Sheri gave an excellent presentation. Reassured me that some of the things I am doing are right.”

Services for Dementia Care

Consulting & Support

Looking to learn skills and manage challenges through continued support as you gain comfort and competence?
Learn More Info Sheet

Coaching

Need one-on-one or small group in-person modeling of the skills?

Learn More Info Sheet

Training

Have staff or a group interested in learning more about solving challenging situations?
Learn More Info Sheet Champion Courses

Community Presentations

Looking to setup a presentation for your agency, church, club, or social group?
Learn More Info Sheet

Want to learn more?

Download Our Brochure!

Click Here to Download