In collaboration with the State of Georgia, The State Alzheimer's Research Support (StARS) Center is forming five Lived Experience Panels throughout various geographic regions of Georgia. These panels are made up of a diverse group of persons living with dementia and caregivers who will convene quarterly to inform their state's efforts to improve dementia care services. By sharing their lived experience, panel members bring invaluable information and provide real-world examples to their state's dementia care services.

Each of the five Lived Experience Panels will consist of:
  • People living with mild cognitive impairment or early-stage dementia
  • Current or former dementia care partners / caregivers (an unpaid family member or friend who supports someone living with dementia)
Commitment
A one-year commitment is requested. Participation includes:

  • Four 60–90-minute virtual (Zoom) meetings, with the possibility of one in-person meeting
  • Review material before and after meetings when requested
  • Compensation of up to $400 paid at the end of the full one-year term for participation
  • After the one-year commitment has ended, there is possibility for renewal
If you are interested in potentially participating in a Lived Experience Panel, please complete this brief survey. If you have any questions about the form, please contact Kerry Finegan (kfinegan@alz.org) or 312-377-4225.


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* 1. What is your first and last name?

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* 2. What is your preferred email address?

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* 3. What is your preferred phone number?

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* 4. What is your age?

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* 5. What is your sex?

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* 6. What state do you reside in?

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* 7. What is your zip code?

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* 8. What county do you reside in?

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* 9. Are you familiar with any community support services for persons with dementia or their care partners including but not limited to home care, care coordination, support groups, community centers and assistance with meal preparation in your area?

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* 10. If yes, what community support services are you familiar with?

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* 11. Have you or the person you are caring for received services from a Georgia Memory Assessment Clinic (including the locations in Albany, Atlanta, Augusta, Gainesville, Macon, Savannah, Vidalia or via telehealth)?

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* 12. Are you an:

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