1. Very low 1. Strongly disagree 2. Low 2. Disagree 3. Moderate 3. Neither agree or disagree 4. High 4. 5. Very high 5. Strongly agree 0. Do not know 0. Do not know Question 8 This question asks about your skills for interacting with people who have dementia. (Skills for interacting with people with dementia include knowing when to repeat information or suggesting a family member should participate in conversations.) (Q7 in full assessment) Level of Interaction Skills Priority for Action Indicate your level of agreement with this Indicate your level of agreement with this statement: I have good skills for interacting statement: Increasing our community members’ with people with dementia. skills for interacting with people with dementia 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 agree or disagree 4. Agree 4. Agree 5. Strongly agree 5. Strongly agree 0. Do not know 0. Do not know Question 9 Our community may have diverse and underserved populations that would 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: Share 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. Very low 2. Low 3. Moderate 4. High 5. Very high 0. Do not know 1. Strongly disagree 2. Disagree 3. Neither agree or disagree 4. 5. Strongly agree 0. Do not know Question 8 This question asks about your skills for interacting with people who have dementia. (Skills for interacting with people with dementia include knowing when to repeat information or suggesting a family member should participate in conversations.) (Q7 in full assessment) Level of Interaction Skills Priority for Action Indicate your level of agreement with this statement: I have good skills for interacting with people with dementia. Indicate your level of agreement with this statement: Increasing our community members’ skills for interacting with people with dementia 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 Question 9 Our community may have diverse and underserved populations that would 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: Share 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.
P2%20R3%20questionnaire%20caregiver.docx