Questionnaire to Assess Local Dementia Services

This questionnaire has been created to assess services available to people living with dementia in our local communities. 

Your answers are very useful to help us to understand how effective services are, what kind of difference they’re making, and how they could be improved.

Please click here to download the questionaire.

Taking part is voluntary and you do not have to answer the questions if you do not want to. We will not report results for any individual.

If you can’t answer a question, feel free to ask for clarification, or just leave it and go on to the next one.

Please return the questionnaire by 28 February to

If you have any further questions please contact: Sue Butterworth on 01635 503410 or


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