Dementia Support Website Usability Study (UK Only)

Your Name * First name and last name please

Are you available to participate in our project in Central London on 23 November * each interview session runs for one hour and is scheduled between 8.30am and 6.30pm

Yes
No

Your email address * we will contact you to confirm your availability

Your mobile phone number * we may also contact you, during business hours, to confirm availability or suitability for our project

Your gender * these questions help us to recruit an appropriate range of participants for our project

Female
Male
I'd rather not say

Your Postcode * Just the first part. Note that for the project on 23 November we will reimburse travel expenses from within Greater London

Tell us a little about how your life has been touched by dementia *

Have you heard of something called 'Twitter'? *

Never heard of it, no idea what you're talking about
I've heard of it, but not sure what it is.
I know what Twitter is but I'm not interested in using it
I have a Twitter account but I don't use it much
I have a Twitter account and I use it regularly
Other:

Are you happy for us to keep your details on file so we can contact you for future projects? * we will only contact you about projects that will benefit the families and networks of people with dementia

Yes
No