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A Better Future for YOU
Questionnaire for those who want a better future
1. Your Feelings About the Future
1. Do you ever think about how dementia could affect your day-to-day life?
Yes
No
2. Does the idea of being in public with memory or thinking difficulties make you feel uneasy?
Yes
No
3. Do you feel confident that your community would be understanding?
Yes
No
2. Concerns You May Have
4. Do you worry about any of the following (You can select more than 1)
Worrying about getting lost or disoriented in public
Feeling embarrassed or judged by others
Struggling to communicate or find the right words
Crowds, noise, or busy places becoming overwhelming
Losing independence in everyday activities
Not knowing where to find help in public spaces
Other
Other
3. Positive Hopes for the Future
Do you hope any of the following will occur? (You can select more than 1)
Friends and family will still include me in social activities
There will be safe and welcoming public spaces for people with dementia
People in the community will be patient and kind
I’ll still be able to enjoy my favourite activities and places
I’ll have access to transport that supports my needs
4. Support You’d Like to See
Which of the following would you like to see? (You can select more than 1)
Staff in public places trained to recognise and help people with dementia
Clear signage and quiet areas in busy environments
Dementia-friendly events and activities
Local groups where people can share experiences and advice
Easy-to-access information on dementia support services
Your Voice Matters
What would help you feel safe, confident, and included if you ever experienced dementia?
Thank you
Thank you for sharing your thoughts. By speaking up now, you’re helping build a future where everyone can live with dignity, joy, and belonging—whatever challenges they face.