Memory and Reminiscence Survey

323 Roundhay Road, Leeds, LS8 4HT Tel: (0113) 240 6009 Fax: (0113) 249 3349 [email protected] www.care-repair-leeds.org.uk

The Home Improvement Agency for Leeds Creating Healthy Homes for Independent Living

Memory and Reminiscence Survey Care and Repair Leeds offer a free Memories Reminiscence Library service, available to friends and family of those with memory problems, where you are able to borrow photographs of past entertainers and events, fun games and activities to help communication. Current items mainly cover British history but we would like to expand the range for other cultures. We have created this survey to gather information on memory and reminiscence among ethnic groups to find out if there is a need for culture specific items for use within the service. Information collected will be used to generate a report, which will be available on our website: www.care-repair-leeds.org.uk. For more information, contact Lisa Stones on 0113 200 9158. Please return completed surveys before: 31/01/2015 by post: Care and Repair Leeds, 323 Roundhay Road, Leeds, LS8 4HT or by email: [email protected].

1. Have you heard of “reminiscence therapy”? 2. Do you understand what “reminiscence therapy” is? Reminiscence therapy involves talking about things from the past, using prompts such as photos, familiar objects or music. Reminiscence therapy can improve mood, wellbeing and memory. 3. Does the above information help you understand what “reminiscence therapy” is? 4. Have you heard of “dementia”? 5. Do you understand what “dementia” is? Dementia is the medical term used to collectively describe a set of symptoms including severe forgetfulness, confusion, difficulties with problem-solving and communication. A person living with dementia may also experience changes in their mood or behaviour. 6. Does the above information help you understand what “dementia” is? 7. Have you heard of “Alzheimer’s Disease”? 8. Do you understand what “Alzheimer’s Disease” is? Alzheimer’s Disease is a disease of the brain and is the most common cause of dementia. There are other diseases that cause dementia, such as “Vascular Dementia” and “Pick’s Disease”. 9. Does the above information help you understand what “Alzheimer’s Disease” is? If you know someone living with memory problems, Care and Repair Leeds offer a free Memories Reminiscence Library service, where you are able to borrow photographs of past entertainers, fun games and activities to help communication. Items are delivered and collected free of charge. Current items mainly cover British history but we would like to expand the range for other cultures. 10. Do you think these items should be available to suit a variety of ethnic groups? 11. Do you think using reminiscence items would be enjoyable? 12. Would you consider borrowing reminiscence items to use with someone living with memory problems? 13. Do you know someone with memory problems? 14. Do you find it difficult to communicate with them? To help us understand what your culture was like when you were growing up, please answer the following questions: 15. What was your favourite toy/game when you were younger?

16. Who was your favourite music/entertainer/singer when you were younger?

17. What was your most memorable news story when you were younger?

18. What was your most memorable landmark/place when you were younger?

19. What was your most memorable clothing/fashion item when you were younger?

20. What was your favourite hobby/pastime when you were younger?

21. Is there anything else you would like to tell us about when you were younger?

22. Is there anything else you would like to tell us about your experience of dementia and/or reminiscence?

23. What area of Leeds do you live in? Adel and Wharfedale Horsforth Alwoodley Hyde Park and Woodhouse Ardsley and Robin Hood Killingbeck and Seacroft Armley Kippax and Methley Beeston and Holbeck Kirkstall Bramley and Stanningley Middleton Park Burmantofts and Richmond Hill Moortown Calverley and Farsley Morley North Chapel Allerton Morley South City and Hunslet Otley and Yeadon Cross Gates and Whinmoor Pudsey Farnley and Wortley Rothwell Garforth and Swillington Roundhay Gipton and Harehills Temple Newsam Guiseley and Rawdon Weetwood Headingley Wetherby Harewood

24. Are you male or female? 25. How old are you? Less than 18 years old 18 – 29 years old 30 – 39 years old 40 – 49 years old 50 – 59 years old 60 – 69 years old 70 – 79 years old 80 – 89 years old 90 – 99 years old More than 100 years old

26. How long have you lived in the UK? Since birth Since: (year)

27. What is your ethnic origin? White Mixed / Multiple Asian / Asian British Black / Black British English White & Asian Bangladeshi African Welsh White & Black Chinese Caribbean Scottish African Indian Other Northern Irish White & Black Kashmiri Irish Caribbean Pakistani Other Other Other Other Arab Gypsy / Traveller

Not listed – please state:

Prize Draw If you would like to be entered into the prize draw to win a £25 Marks and Spencer’s voucher, please enter your contact details below. Name: Address: Telephone Number: Email Address: Please send me information on the Memories Reminiscence Library Please send me information on all Care and Repair Leeds services

Over 18s only. One entry per person. The winner of the prize draw will be selected at random from all entries received before the closing date: 31/01/2015. The winner will be notified by letter before the end of February 2015.

For further information on the Memories Reminiscence Library, please contact Karen Bentley at Care and Repair Leeds on 0113 391 8338, or email [email protected]. For further information and/or support on dementia, please contact the Alzheimer’s Society Leeds on 0113 231 1727, or email [email protected].

Please return completed surveys before: 31/01/2015 by post: Care and Repair Leeds, 323 Roundhay Road, Leeds, LS8 4HT or by email: [email protected].