This survey has been designed for people with dementia. Below you can access the two surveys we have designed for people living with dementia, which we hope you will find more useful.

Please take both parts of the survey.


Impact survey (online)
Impact survey (online)
Impact survey (Word)
Involvement survey (online)
Involvement survey (online)
Involvement survey (Word)

Involvement survey – questions about how involved people affected by dementia are in the design and delivery of initiatives.

Impact survey – questions about how initiatives have affected you, and whether they have had a positive impact on your life.

You can complete the surveys either through an online form or by downloading the Microsoft Word version and sending it back to us via email. All details are on the survey document.

We would encourage respondents to engage appropriately with people affected by dementia to gather their responses. We will be engaging further with people living with dementia through face-to-face interviews to ensure all views and priorities are included in the report.