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Knowledge Questions
After reading the statements below, indicate whether they are True/False.
Dementia is part of normal aging.
*
True
False
Dementia is not just about having memory problems. It can affect thinking, communication and everyday tasks.
*
True
False
People with dementia may express themselves or communicate through actions instead of words.
*
True
False
Attitude Questions
On a scale from 1 to 5, indicate the number you feel reflects your feelings about each statement.
I am confident interacting with people with dementia.
*
1 - Strongly disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
People with dementia need to feel respected, just like anyone else.
*
1 - Strongly disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I can respond to people with dementia with understanding.
*
1 - Strongly disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I am motivated to get to know people with dementia better.
*
1 - Strongly disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
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Behavior/Practice Change Question
Put a check next to each action you will take. Select as many as you like.
Which of the following actions will you take to create a more dementia friendly and inclusive community?
*
Offer support to people with dementia
Offer support to caregivers of people with dementia
Volunteer for an organization that helps people with dementia or their caregivers
Make my home more dementia friendly
Encourage my friends to become dementia friendly
Be more patient with people with dementia when out in the community
Make sure staff/co-workers are educated about effective communication strategies when interacting with people with dementia
Adapt current services or put new services in place for people with dementia
Adapt current services or put new services in place for dementia caregivers
Adopt employee benefits practices that are supportive of family caregivers of persons with dementia
Make environmental changes in my organization or public space (e.g., establish places to rest or quiet rooms and spaces; maps/signage; lighting; contrasting surfaces)
Are there any other actions you will take? Please list them below:
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