Trek26 - Share your story

1. Thank you for taking part in Trek26 and offering to share your story. Your story could play a vital part in helping us spread the word and inspire others to take part! Together, we will raise vital funds to continue to fund research, campaign for change and offer support for people affected by dementia.

All you need to do at this stage is answer the following short questions. If we need more information, we will get in touch to have a chat.

Name
Address 1
Address 2
City/Town
County
Postal code
Email Address
Contact number

2. Which Trek26 location have you completed or are you signed up to take part in?

3. What year did you complete or are signed up to take part in?

4. Had or have you done a Trek26 event before this one?

If so, where and when?

5. Who are you trekking for?

I am living with dementia
A friend is living with dementia
A family member is living with dementia
In memory of a friend or relative who had dementia
I work in healthcare and am trekking for everyone affected by dementia
Everyone who is affected by dementia
I'd rather not say
Other (please specify):

6. Who did you or are you trekking with?

On my own
With a family member
With a friend
Other (please specify):

7. We would love to hear about your personal experiences of dementia and also why you chose to sign up for the Trek26 event?

8. If you have already completed your Trek26 please let us know how you found the experience? From arriving on site, rest stop snacks to the feeling when you crossed the finishing line.

9. By sharing your story you'll be helping us to raise vital awareness of dementia and encourage others to take part in Trek26.

Would you be happy for Alzheimer's Society to contact you about opportunities to share your story to help promote Trek26?

Please tick what media opportunities you would be happy for Alzheimer's Society to contact you about to help promote Trek26. You can change these at any time.

Thanks for taking the time to share you story with us.
The information you share with us will only be used to contact you about your story. We will not use your story or pass the details recorded in this survey to any other organisation without your permission. The information will be stored on our database for a maximum of three years. You can request for your information to be removed at any time. To find out more about how we use your personal information please take a look at our supporter privacy statement.