Reseachers in the Department of Communication Disorders at Florida
State University are involved in several projects for people with dementia
and their caregivers.  One project is a memory training program.  Another
project is designed for adult children of people with dementia to better
handle caregiving responsibilities.

We would like to know from adult caregivers what their needs are and if
they would be interested in participating in these research projects.  Your
responses to this survey would be most helpful to us in planning appropriate
programs.
 

Survey for adult children caregivers of a parent with dementia.

1.	Would you be interested in learning more about how to handle the memory loss associated with Alzheimer's Disease or dementia? yes no
2.	What format for obtaining information or training would be best for you? Please mark all that apply- Workshop/Training session (2-3 hour session) Lecture (1 hour session) Support Group Print materials (Books, Brochures) Web site information (Internet) Personal contact with a person (phone, e-mail)
3.	If a Caregiving program were available in your area, how likely is it that you would sign up for it?   Workshop/Training very unlikely unlikely neutral likely very likely Lecture very unlikely unlikely neutral likely very likely Web (Internet) programs very unlikely unlikely neutral likely very likely Personal contact via e-mail very unlikely unlikely neutral likely very likely Personal contact via phone very unlikely unlikely neutral likely very likely
4.	What would keep you from signing up for such a program?   Not interested Interested but lack of time Interested but unable to attend because there is no one to take care of my spouse/parent No access to computer
5.	Please check the categories that describe your situation: My parent has been diagnosed with dementia for:   Less than a year More than a year     My parent with dementia lives with me My parent with dementia lives alone My parent with dementia lives in a residential facility(assisted living, nursing home)     I have siblings who help with caregiving responsibilities I have siblings who do not help with caregiving I do not have siblings

 

Thank you for completing this survey!