Language
  • English (Canada)
  • French (Canada)

  • Join The Alzheimer Society of Canada's Advisory Group of People with Lived Experience of Dementia

  • I am:*
  • If you are comfortable telling us, what is your dementia diagnosis or the diagnosis of the person you support? (This question is optional)
  • Format: (000) 000-0000.
  • Which province or territory do you live in?*
  • What is your gender?*
  • If you are willing to share, what is your racial/ethnic background?*
  • Are you comfortable speaking and reading English?*
  • Do you have access to a computer and can send/receive email, and participate in web conference calls?*
  • Should be Empty: