Form cover
Page 1 of 4

FTD Healthcare Outreach Survey

Cure MAPT FTD has created a free toolkit to help frontline health professionals recognize and respond to frontotemporal dementia (FTD). This pilot program focuses on Florida and Georgia, but the toolkit is open to all health professionals and members of the public.
This survey takes about 2 minutes. When you finish, you'll go straight to the toolkit.
Your privacy
• Your name, email and answers are never shared or sold
• Results are reported only in aggregate
• Your email is used only for toolkit access and, if you agree, a brief follow-up survey

Consent to participate

Questions? Contact hello@curemaptftd.org.

About you

7 quick questions

Full name

Email

Institution or organization

Profession

Specialty

State where you practice

A
B
C
D

Practice zip code