Name * First Name Last Name Email * Which Dementia Friendly Community do you lead or are you a part of? * Do you plan to attend the Quarterly Round UP meeting? * Yes No If "No", why not? Which events has your community been a part of this year 2025? * None Dementia Friendly Business training Taking it to the Streets Community Kick-Offs Support Groups Memory Cafes Other What other things has your action team been a part of? Does your action team meet regularly? * Yes No About how many people are active on your action team? * Does your action team have a person living with dementia or a care partner? * Yes No How many active Dementia Friendly Businesses do you have in your community? * Do you follow up with the businesses annually to make sure that they are still at 50% trained? * Yes No What is something you are proud of about your community? * Thank you! I ask myself, “Why do I do what I do?” and if the answer is not because I love to, then maybe I need to ask myself again.
