Thank you for watching KEYS BAGS NAMES WORDS.
We would love your feedback on the film. Please take 5 minutes to fill out this brief survey
Sign in to Google to save your progress. Learn more
Email
What organization hosted your screening? *
What is your profession? *
How much new or helpful information did you learn from Keys Bags Names Words? *
Nothing
A Lot
Did this film change your perceptions around  Alzheimer's disease and dementia? *
No change
Big change in my perception of these diseases
If yes, in what way did the film change your perceptions of these diseases?
What changes did the film inspire you to make in your life, if any?
What memorable moments in the film stood out to you?
Would you recommend this film to a friend? Why or why not?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms