NMSP Screening Site Survey 1. How many people conduct memory screenings for your screening site?(Required) 1 – 50 51 – 100 100+ other not applicable 2. How many screenings did your screening site complete in 2021?(Required) 0 1 – 100 100+ 200+ 300+ 3. "The number of screenings our site completed in 2021 is ________."(Required) less than we anticipated approximately what we anticipated more than we anticipated we do not anticipate the number of screenings not applicable 4. How many screenings did your screening site complete in 2020?(Required) 0 1 – 100 100+ 200+ 300+ 5. "The number of screenings our site completed in 2020 is ________."(Required) less than we anticipated approximately what we anticipated more than anticipated we do not anticipate the number of screenings not applicable 6. “We complete memory screenings approximately on a _______ basis.”(Required)dailyweeklymonthlyannualotherPlease explain if you selected other: 7. “In 2021, our screening site had the resources to complete our screenings comfortably.”(Required)Strongly agreeAgreeSomewhat agreeSomewhat disagreeStrongly disagree 8. “In 2020, our screening site had the resources to complete our screenings comfortably.”(Required)Strongly agreeAgreeSomewhat agreeSomewhat disagreeStrongly disagree 9. How often has your screening site conducted memory screening using video conferencing software (Zoom, Skype, Google Meet, etc.)?(Required) never rarely sometimes often always 10. “Our screening site ____________ has access to video conferencing tools (Zoom, Skype, Google Meet, etc.).”(Required) never rarely sometimes often always 11. How often does your screening site use the following methods to conduct screenings?(Required)NeverRarelySometimesOftenAlwaysScreening events (in-person)Appointment-only screenings (in-person)Walk-in/no appointment screenings (in-person)Screening via videoconference (Zoom, Skype, Google Meet, etc.) (remote) 12. Please rank the following from most to least appealing to your screening site:cash prizesevent collaborationspromotion of your organizationgrant opportunities Δ
NMSP Screening Site Survey 1. How many people conduct memory screenings for your screening site?(Required) 1 – 50 51 – 100 100+ other not applicable 2. How many screenings did your screening site complete in 2021?(Required) 0 1 – 100 100+ 200+ 300+ 3. "The number of screenings our site completed in 2021 is ________."(Required) less than we anticipated approximately what we anticipated more than we anticipated we do not anticipate the number of screenings not applicable 4. How many screenings did your screening site complete in 2020?(Required) 0 1 – 100 100+ 200+ 300+ 5. "The number of screenings our site completed in 2020 is ________."(Required) less than we anticipated approximately what we anticipated more than anticipated we do not anticipate the number of screenings not applicable 6. “We complete memory screenings approximately on a _______ basis.”(Required)dailyweeklymonthlyannualotherPlease explain if you selected other: 7. “In 2021, our screening site had the resources to complete our screenings comfortably.”(Required)Strongly agreeAgreeSomewhat agreeSomewhat disagreeStrongly disagree 8. “In 2020, our screening site had the resources to complete our screenings comfortably.”(Required)Strongly agreeAgreeSomewhat agreeSomewhat disagreeStrongly disagree 9. How often has your screening site conducted memory screening using video conferencing software (Zoom, Skype, Google Meet, etc.)?(Required) never rarely sometimes often always 10. “Our screening site ____________ has access to video conferencing tools (Zoom, Skype, Google Meet, etc.).”(Required) never rarely sometimes often always 11. How often does your screening site use the following methods to conduct screenings?(Required)NeverRarelySometimesOftenAlwaysScreening events (in-person)Appointment-only screenings (in-person)Walk-in/no appointment screenings (in-person)Screening via videoconference (Zoom, Skype, Google Meet, etc.) (remote) 12. Please rank the following from most to least appealing to your screening site:cash prizesevent collaborationspromotion of your organizationgrant opportunities Δ
