What resources and organizations would you suggest to individuals who may show signs of dementia? (Q4 in full assessment) Question 6 This question asks about awareness of the resources and organizations that can help support people with dementia and their families. (Q5 in full assessment) 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 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 7 This question asks about your level of knowledge of the warning signs of dementia. 10 warning signs: 1) Memory loss that disrupts daily life. 2) Challenges in planning or solving problems. 3) Difficulty completing familiar tasks at home, at work or at leisure. 4) Confusion with time or place. 5) Trouble understanding visual images and spatial relationships. 6) New problems with words in speaking or writing. 7) Misplacing things and losing the ability to retrace steps. 8) Decreased or poor judgment. 9) Withdrawal from work or social activities. 10) Changes in mood and personality. (Q6 in full assessment) Level of Dementia Knowledge Priority for Action
Indicate your level of knowledge of the 10 warning signs of dementia. Indicate your level of agreement with this statement: Increasing our community members’ knowledge about the warning signs of dementia 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 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. of Current Activity Priority for Action