Share your Thoughts

Your generosity and commitment make a meaningful difference to the lives of people living with dementia and their caregivers. Perhaps your caring stems from seeing someone in your own life experiencing this disease. You can help us improve our services and communications by telling us about your connection to Alzheimer’s disease in the survey below.

The survey will only take about 10 minutes of your time. Please complete and submit the survey below or online at by April 30th, 2022.

Question - Required - 1. Thinking back to your first donation to the Alzheimer Society, what motivated you to give to this cause? Check all that apply.


(Maximum response 255 chars, approx. 5 rows of text)

Question - Required - 2. If someone you know has been affected by dementia, what is their relation to you?


(Maximum response 255 chars, approx. 5 rows of text)


Question - Required - 4. Have you, or anyone you know, used any Alzheimer Society services?


5. On a scale of 1 to 5, how much would you agree to each statement?

Question - Required - The Alzheimer Society is at the top of my charity giving list

Question - Required - I understand how my support is making a difference in people's lives


6. Many of our supporters are interested in learning about other ways to give.
Please indicate which, if any, of the following interest or apply to you:

Question - Required - Monthly giving - provide steady funding for research and support programs.

Question - Required - Gift in your Will - make a lasting impact on future generations.

Question - Required - Significant gift - make a difference for people living with dementia.


7. Tell us more about you.

Question - Required - Age bracket:

Question - Required - Relationship and family status. Check all that apply:


15. Survey submitted by:






If you have questions regarding the survey, please contact Jeanelle Bertheau at 1-800-616-8816, ext. 2953 or by email at Any information you provide will be kept completely confidential and will not be disclosed publicly without your consent.

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