Feedback June 2015

Did you attend the Information Evening (topic "Dementia") on 22nd June?

 
 

If "yes", as a result do you have a better understanding of dementia:

(i) symptoms and what to look out for?

 
 
 

(ii) what actions to take if you have concerns?

 
 
 

(iii) what support is available?

 
 
 

Did you like the venue?

 
 
 

Any comments about the venue:

If "no" please tell us why you didn't attend:

 
 
 

Are there any aspects of dementia that you would like us to cover in a future session?

Our Patient Group meets with GPs and managers from Portishead Medical Group during the year to discuss ongoing plans, issues and matters of interest. Are there any topics that you would like the group to consider?

Please tell us about yourself:

Are you living with dementia?

 
 

Are you a carer for someone living with dementia?

 
 

Age:

 
 
 
 
 
 
 

Gender:

 
 
 

If you are living with dementia, or caring for someone who is, what additional support or information would you find useful?

If you would like us to contact you with details of local support organisations please provide your name, email address and contact number below:

If you would be willing to participate in research into dementia please state ‘YES’ below and provide your name and address.

Thank you for your help.