RSVP for Open House We are looking forward to showing you around! Would you kindly share some information that will help us coordinate your Open House experience? 1Your Name2Relationship to Dementia3Tour Preferences4Communication Preferences5How did you hear about us?6Questions? Your First Name(Required) Your Last Name(Required) What is your 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 Unsure Prefer not to answer What would you like your tour to focus on? Check all that apply. All Residential Living Options Unparalleled Assisted Living at the River Homes Reimagined Skilled Nursing Neibhborhoods Resilient Living Center The whole campus Unsure What would you like to learn about during your tour? Check all that apply. Residential Options Ways to prevent dementia Programs, Courses, and Workshops Special Events Membership to the Resilient Living Center Occupational Therapy Resources, Supports, and Services Will anyone be attending with you? Yes No Unsure How many people will be in your party? How would you like us to follow up with you?I prefer communicating by: Phone Email I don't have a preference May we have your contact information to follow up with you?Phone Number(Required) Email(Required) Address City State Zip 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 any questions ahead of your tour?
