2. Thank you for participating in Dementia Live training! Please complete the evaluation form below:
4. Date of Training
   Date of Training
5. Site of Training
6. Instructor(s)
8. Please rate the training based on the following objectives:
10. Ability to explain why heightened understanding and empathy can lead to improved levels of care

    1. Excellent
    2. Good
    3. Needs Improvement
12. Increased understanding of what it may be like to experience dementia

    1. Excellent
    2. Good
    3. Needs Improvement
14. Obtained new information to use in my journey as a dementia caregiver

    1. Excellent
    2. Good
    3. Needs Improvement
    4. Not Applicable
16. Quality of simulation

    1. Excellent
    2. Good
    3. Needs Improvement
18. Quality of empowerment session

    1. Excellent
    2. Good
    3. Needs Improvement
20. Quality of experience with registration and logistics

    1. Excellent
    2. Good
    3. Needs Improvement
22. Would you recommend the program to others?

    1. Yes
    2. No
24. How did you hear about this program?
26. Are you:

    1. A family caregiver
    2. An individual experiencing memory challenges and/or other chronic health conditions
    3. An individual concerned about memory or other health issues
    4. A professional caregiver
    5. Another professional
    6. Other
28. Other suggestions or comments?
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

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