If you know or care for someone who is living with dementia, please complete our survey to help improve our services.

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* 1. What is your relationship with someone who is living with dementia? (Please tick the most appropriate one or two if you are also a carer)

What would you like to see in areas of the audiology/hearing aid pathway that might help people with dementia to use and maintain their hearing aids?
(Please tick up to 3 options in each category, that you feel will be most beneficial)

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* 2. What would you like to see in the: Clinic Room

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* 3. What would you like to see in the: Information packs for hearing aids

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* 4. What would you like to see with: Appointments

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* 5. Which of these areas do you think is most important? (You can only select one)

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* 6. Do you have any other feedback or comments?

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