Feedback Survey for New York Memory Center's Family Resource Program
*** Please take a moment to read this section before answering the questions below.***

What is the Family Resource Program at NYMC?

Since 1983, New York Memory Center (formerly Park Slope Geriatric Day Center) has been supporting family caregivers through our social adult day center. Now, we have the opportunity to expand our reach to the community to connect more individuals to more services. We know that Alzheimer’s can profoundly impact a family, and believe that it is crucial for caregivers to receive adequate support. Through our new program, which is funded by a grant from the New York State Department of Health under the Alzheimer’s Caregiver Initiative, we now offer a wide range of services to these families. These services include:

• Care coaching: How do I care for my loved one and for myself?
• Alzheimer’s navigation services: Help with benefits, entitlements, and more.
• Wellness classes: Nutrition, Yoga, and Tai-chi classes to give caregivers the opportunity to relax and take some time for themselves.
• Education: Information on various topics relating to dementia and caregiving.
• Joint enrichment: Fun activities that caregivers and their loved ones can participate in together, such as Memory Arts Cafes.
• NYMC also provides a Caregiver Support Group that meets 2x per month (this group does not currently receive funding from NYS DOH), but remains free and open to the public.

Our main focus is to help improve the lives of caregivers as much as we can by providing the most useful and beneficial services. Your participation in this survey is greatly appreciated, and will help us in reaching this goal. If you have any additional questions about the Family Resource Program, or NYMC in general, please feel free to reach out to us at (718) 499-7701, or visit our website, www.nymemorycenter.org.

Please choose the choice below which best describes you:
As a family caregiver, what types of events in general do you attend or would you like to attend in your free time?
Your answer
What is your zip code?
Your answer
What is the zip code of your loved one(s) with memory loss?
Your answer
What is your general availability for family caregiver wellness and education events? Keep in mind that these programs are to support YOU as a family caregiver. Check all that apply.
Early AM
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What is your general availability for family caregiver wellness and education events? Keep in mind that these programs are to support YOU as a family caregiver. Check all that apply.
Early AM
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
With advanced notice, we can provide onsite care for your loved one(s) with memory loss during caregiver events. Would this be helpful for you?
Would you be interested in attending the Caregiver Yoga classes offered by NYMC? These classes currently run on the second Wednesday of each month from 6-7 PM.
If this time does not work for you (Wednesdays from 6-7 PM), when would you like to see our Caregiver Yoga classes offered?
Your answer
Would you be interested in attending the Caregiver Tai Chi classes offered by NYMC? These classes currently run on the first Thursday of each month from 6-7 PM.
If this time does not work for you (Thursdays from 6-7 PM), when would you like to see our Caregiver Tai Chi classes offered?
Your answer
Would you be interested in attending Nutrition classes? These courses have not yet been scheduled.
If you are interested in attending Nutrition classes, when would you like to see these classes offered?
Your answer
Would you be interested in attending Educational workshops about various topics regarding caring for someone with memory loss? These courses have not yet been scheduled.
If you are interested in attending Educational workshops, when would you like to see these workshops offered?
Your answer
Would you be interested in attending upcoming Joint Enrichment activities, such as Memory Arts Cafes, with your loved one?
We are branching out to serve caregivers in specific areas throughout Brooklyn. Which of the following locations would be best for you to attend upcoming caregiver events? Check all that apply.
What other types of Education/Wellness programs for family caregivers would you like to see offered by NYMC?
Your answer
What are some suggestions on how NYMC can better assist you and other family caregivers?
Your answer
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