Living in lockdown survey

Your name (optional)

Are you (required)

A person with dementiaA family carer Other, eg a friend

Which Alzheimer’s Support services do you use? (Please tick all that apply, including before lockdown) (required)

Dementia AdviserHome SupportDay ClubMusic for the MindMovement for the MindArt GroupMuddy Boots GroupMemory CafeDiscussion GroupCarers GroupNone of theseI do not live in Wiltshire

Do you (required)

Live aloneLive with a spouse or partnerLive in a larger family group

What has helped you in lockdown? (Please tick all that apply)

Telephone calls from Alzheimer’s SupportHelp from neighboursHelp from family and friendsA routine of activities at homeOnline informationOnline activities eg music sessions via ZoomOther

Please tell us how any of the above helped you and the person you care for

Looking back, is there anything else that you think could have helped?

During lockdown... : (Please tick any of the statements that are true for you)

I have felt more isolated and cut off from my usual support networksI have missed meeting my friendsI have missed respite breaksI have got to know my neighbours betterI have enjoyed spending more time with family members

During lockdown, have you/the person you care for found symptoms such as forgetfulness or confusion to be: (required)

more severeless severeno change

Please tell us about this (optional)

Have you/the person you care for found symptoms such as anxiety and agitation to be: (required)

more severeless severeno change

Please tell us about this (optional)

Did you take part in Alzheimer’s Support’s online Music or Movement Zoom sessions (required)

YesNo

Please tell us more about this (optional). Eg if you enjoyed the sessions what would make them better. If you have not been able to join in, what would make it easier for you?

Now that lockdown in easing, do you have any concerns about going out and about?

No concernsSome concernsI don’t feel ready to go out and about

Please use this space to tell us anything else about your experience of lockdown (optional)

The information you have given will be anonymised. If you are happy to be contacted by a member of Alzheimer’s Support staff to talk about your answers please give your name here