Introduction and your details

With an aging population and improving treatment, we can expect more and more people in the Borough to have their lives touched by Dementia. This might be as a patient, as a carer of a person living with Dementia or a provider or services or local community groups.

As a carer, if you are either looking after someone, or have looked after someone with a diagnosis of Dementia, then we would really like to hear from you. 

Trafford Carers Centre is working in partnership with other providers to develop a new Dementia Strategy for Trafford Council. We are working with: 
  • Trafford Council - Public Health Team
  • Trafford CCG
  • Age UK Trafford 
  • Alzheimer's Society 

To improve the " Living well with Dementia - A Strategy for Trafford "  we appreciate that your experiences are key in developing a Strategy that provides the best framework for support for patients with Dementia and the unpaid carers that support them at home. 

As such your experience is key, we would like to hear from you; what you experienced prior to diagnosis, during the diagnostic process, and living with and supporting someone with Dementia. 

Each experience is key to understanding how to deliver support to both the patient and the person providing care. In order to ensure that people live with Dementia in Trafford, we hope that this survey will inform and support the development of the new Strategy. 

Please complete this questionnaire, which will be held in confidence, we will only collect and develop themes from this data, no individual data will be identifiable in any reports generated. If you need assistance to complete this survey, please contact the Carers Centre on 0161 848 2402



Question Title

* 1. Your name 

Question Title

* 2. Date of Birth

Date

Question Title

* 3. Postcode 

Question Title

* 4. Email address

Question Title

* 5. Relationship to the person you care (d) for 

Question Title

* 6. Postcode for the Cared for

Question Title

* 7. Cared for date of birth

Date

Question Title

* 8. GP Practice name ( for the Cared for person )

Question Title

* 9. Year of Diagnosis of Dementia ( if awaiting diagnosis - please state "awaiting")

T