ADAM

Question 1 of 9

Before we begin, can you tell me which statement bests describes you?

Please tick all that apply.

What statement best describes you.

Which statement best describes you?

Please tick all that apply.

Choose the statement that best describes your situation

Please tick all that apply.

Choose a statement that best describes your situation

Please tick all that apply.

How would you say you get on with using technology just now?

Please tick all that apply.

Choose the statement that describes you best

Please tick all that apply.

I also have a question on the people around you who can help with technology. Is there someone who lives with you who is confident with technology? For example, someone who can help with setting things up, keeping the technology working and helping you to use it?

Please tick all that apply.

When suggesting products for you, what challenges would you like help with?

Please tick all that apply.

I am living with dementia

I am a carer for someone living with dementia.

I am filling this in for a family member or friend who does not live with me.

I am filling this in with someone that I support in a professional capacity.

I live alone in my own home

I live in supported or managed accomodation

I live with a partner or family

I live independently

I sometimes have support

I have regular support (daily)

I need support 24/7

I have wifi

I don't have wifi and do not wish to get it

I don't have wifi but I could consider getting it

I have telecare or a care management system

I use a mobile phone to receive and make calls only

I use a mobile phone to receive and makes calls and text messages

I use a mobile phone or smart phone for messaging apps, video calls, and to access the internet, e.g. email, online shopping, google searches

I have a mobile phone but I don't use it any more or I don't have have a mobile phone

I am ok with technology

I need things that are easy to use

I need things that work without me having to do anything

I would like to do as much as I can myself

I would like to have things that my family can operate on my behalf

yes

help around my home

help when my speech is not clear

help to remember things

help when I am struggling to hear

things that are easier to use with reduced vision

Help to do things in the right order

help with misplacing objects

things that are easy to understand