What kinds of things did the group discuss Did you have a guest speaker Subject/Topic: Name: Title: Telephone: Address: Street Number, Name City, State, Zip Do you recommend speaker to other support groups Yes No How can we help you Tell us how Alzheimer’s Arkansas can improve its services to you and to the participants of your group: Person Completing Report: Date: Alzheimer’s Arkansas Programs and Services 201 Markham Center Drive ● Little Rock, AR 72205 501-224-0021 or 800-689-6090 ● Fax: 501-227-6303 ● www.alzark.org Support Group Name: Date: SUPPORT GROUP SIGN IN IMPORTANT – “Welcome” packets from Alzheimer’s Arkansas are mailed to first time visitors to the support group..
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