Priority for Action Level of Current Activity Indicate your level of agreement with this Indicate your level of agreement with this statement: Our community currently has statement: Raising community awareness of the adequate awareness of the resources and resources and organizations that can help support organizations available to support people with people with dementia and their families should be dementia and their families. a priority for action in our community. 1. Strongly disagree 1. Strongly disagree 2. Disagree 2. Disagree 3. Neither agree or disagree 3. Neither agree or disagree 4. Agree 4. Agree 5. Strongly agree 5. Strongly agree 0. Do not know 0. Do not know Interviewer Tip: Distribute education on Alzheimer’s disease and dementia; e.g., Know the 10 Signs. Share listing of the resources and organizations that can help support people with dementia and their families in your community. Question 6 Our community may have diverse and underserved populations that benefit from having resources tailored for people with dementia and their families (meaning programs or services that meet the needs of diverse populations). (Question 8 in full assessment) Interviewer Tip: relevant community demographic information. Priority for Action Level of Current Activity Indicate your level of agreement with this Indicate your level of agreement with this statement: Our community currently has statement: Increasing dementia-related resources adequate dementia-related resources tailored tailored to our diverse and underserved to our diverse and underserved populations. populations should be a priority for action in our community. 1. Strongly disagree 1. Strongly disagree 2. Disagree 2. Disagree 3. Neither agree or disagree 3. Neither or disagree 4. Agree 4. Agree 5. Strongly agree 5. Strongly agree 0. Do not know 0. Do not know Health Care: Cognitive Impairment, Assessment, Management
Level of Current Activity Priority for Action Indicate your level of agreement with this statement: Our community currently has adequate awareness of the resources and organizations available to support people with dementia and their families. Indicate your level of agreement with this statement: Raising community awareness of the resources and organizations that can help support people with dementia and their families should be a priority for action in our community. 1. Strongly disagree 2. Disagree 3. Neither agree or disagree 4. Agree 5. Strongly agree 0. Do not know 1. Strongly disagree 2. Disagree 3. Neither agree or disagree 4. Agree 5. Strongly agree 0. Do not know Interviewer Tip: Distribute education on Alzheimer’s disease and dementia; e.g., Know the 10 Signs. Share listing of the resources and organizations that can help support people with dementia and their families in your community. Question 6 Our community may have diverse and underserved populations that benefit from having resources tailored for people with dementia and their families (meaning programs or services that meet the needs of diverse populations). (Question 8 in full assessment) Interviewer Tip: relevant community demographic information. Level of Current Activity Priority for Action Indicate your level of agreement with this statement: Our community currently has adequate dementia-related resources tailored to our diverse and underserved populations. Indicate your level of agreement with this statement: Increasing dementia-related resources tailored to our diverse and underserved populations should be a priority for action in our community. 1. Strongly disagree 2. Disagree 3. Neither agree or disagree 4. Agree 5. Strongly agree 0. Do not know 1. Strongly disagree 2. Disagree 3. Neither or disagree 4. Agree 5. Strongly agree 0. Do not know Health Care: Cognitive Impairment, Assessment, Management
P2%20R4%20questionnaire%20clinic.docx