Reading Well Books on Prescription for dementia helps you to understand and manage your health and wellbeing using helpful reading.

This book is recommended by The Reading Agency’s Reading Well Books on Prescription for dementia, and we’d like your views on it. Your feedback is important so that we can understand if reading the book has been helpful. Your answers will be kept confidential.

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* 1. What was the title of the Reading Well Books on Prescription for dementia book that you borrowed?

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* 2. Was this book recommended to you by a health professional,e.g. GP or dementia service provider?

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* 3. How much of the book did you read?

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* 4. How helpful did you find it?

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* 5. Did the book:

  Yes No Don't know N/A
Help you understand more about dementia
Support you in coping better with dementia
Help you to care for someone with dementia
Increase your awareness of sources of help

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* 6. Did you become a member of the library in order to borrow this Reading Well on Prescription book or were you already a member?

 
About you

We are asking for some personal details about you.  This information is optional but will help us understand more about who is reading the books recommended by Reading Well.  The information you provide will be kept confidential and will only be retained until our analysis has been completed.

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* 7. Which of the following best describes you?

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* 8. Age:

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* 9. Sex:

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* 10. Ethnicity:

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* 11. Tell us the name of the library authority where you borrowed the book:

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* 12. To enter into a prize draw to win a £50 shopping voucher please provide your email address below.  The prize will be drawn on twice a year and you will be notified if you win.  You will be entered into the first draw after we receive your feedback form.  The information you provide will be kept confidential and destroyed once the winner has been selected and accepted the prize. We will not use your details for anything else unless you give us permission to do.

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* 13. Are you happy to be contacted with updates and information about Reading Well?

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