Register for Holidaze Conversations We are looking forward to gathering with you! Would you kindly share some information about yourself? 1Your Name2Bringing Friends?3Your Contact Info4May we ask?5Discussion Topics Your First Name(Required)Your Last Name(Required) Will anyone be attending with you? Yes No Unsure How many people, including you, will be joining the conversation?Which session would you like to attend? 12:00pm – 1:00pm | In-Person 5:30p – 6:30p | Virtual 5:30p – 6:30p | In-person May we have your contact information to follow up with you?Phone Number(Required)Email(Required)AddressCityStateZipI prefer communicating by: Phone Email I don't have a preference Do you have a relationship to dementia? I am living with dementia or cognitive change I am a care partner I am helping to support someone living with dementia I want to prevent dementia I don't have a relationship to dementia I am a professional that supports people living with dementia A friend or family member is living with dementia Unsure Prefer not to answer How did you learn about LiveWell? A family member/ friend told me about LiveWell My doctor recommended I check out LiveWell I heard about LiveWell on CT Public Radio I found LiveWell through a Google search I saw an ad online I'm not sure Do you have a particular question, topic, or scenario you'd like to discuss during the conversation?
