Pop up Dementia Theatre

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Nature Therapy CIC

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Pop up Dementia Theatre

Please see below a short video clip and the pop up dementia theatre survey.

Communicate through the senses and discover a new language

Pop Up Dementia Theatre Survey

* Indicates required field

Have you taken part in a pop up dementia theatre? *

Yes No - if no then this survey is not relevant

If you have not experienced a pop up dementia theatre session then please contact us for dates and places you can

If Yes please specify when and where: *

What is your age? *

Less than 13 13-18 19-25 26-35 36-50 Over 50

What have you done differently since your pop up experience? *

Educated Professionals Informed family and friends Changed someting in the environment Changed what I do Changed what others do Have not used the information Informed a wider audience Other (please specify below)

Please include all that apply

Please can you give us more detail on what you have done *

Has your pop up experience helped improve the life of someone with dementia? *

Choose one from the drop down box

If your answer is not sure - can you explain why you are not sure? *

If you are not sure, your answer may help us improve the pop up theatre

If your answer is Yes it has improved the life of someone with dementia - tell us in what way your pop up experience helped them *

Less agitation Better Sleep Better enjoyment of nature Improved communication as shown through body language Observed to take more pleasure in life Other (please specify below)

Please include all that apply

If Yes please tell us a bit more about any improvement *

Has the pop up theatre helped you personally *

Less stressed Communicate better Think Sense Better sleep Increased pleasure from nature Get outside more Other (please specify) Has not made a difference

Please tick all that apply

Please tell us more about this *

Would you like to be considered for the accredited training in Nature Therapy and Dementia Care ? *

If you are happy for us to contact you further to help us understand how we can improve the pop up theatre experience then please leave your email and contact details below. We will not pass your contact details on to anyone else nor will we send you unsolicited emails. Thank you for your help. Email *

Name *

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Phone Number *

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