Dementia Carers Café

http://dementiacarers-cafe.blogspot.com/

Dementia Carers Café is a non profit making interest group that looks into the well being of
caregivers. Membership (at no charge) is open to all who are keen to know more about
dementia care.

Our core team is made up of trained counsellors and social workers. Our objectives are as
follows:

1. To create public awareness about dementia care.

2. To allow caregivers to learn more about care giving from professionals and fellow care
givers.
3. To provide an avenue for respite and support for caregivers.
4. To provide a place where needy caregivers can seek help and counselling.

Interested parties may collect the application form at

Ci Yuan Community Centre

Blk 662 Hougang Avenue 4 #01-413 Singapore 530662
Tel: 6386 3717 Fax: 6387 9015
 关护者咖啡座
关护者咖啡座是一个非盈利目的的兴趣小组，建立此小组是为了关注失智症病患关护者
的身心健康。欢迎想要多了解失智症的公众和其他需要协助的关护者加入会员（免费）
小组的主要成员由辅导员以及社会工作者组成。

宗旨
1． 增加公众对失智症关护的意识
2． 为关护者与专业人士提供一个分享心得的角落
3． 为关护者提供短暂休息的空间
4． 向需要协助的关护者提供协助和辅导

有意者请向茨园民众联络所索取报名表格，谢谢。
Dementia Carer’s Café (失智症关护者咖啡座)
Personal Information 个人资料

Name (En/CH): NRIC/ Passport No:

姓名（英/中）: 身份证
Gender (M/F): Date of birth (dd/mm/yy):
性别： 出生日期：
Job: Contact number:
职业 联络号码
Address:
地止：
Hobbies：
爱好：

Are you a caregiver for person with dementia? Please mark ‘√‘
你是失智症病患关护者吗？

Yes （是） No（否） Others, specify

（其它，请注明）

What kind of talk do you hope to attend? Please mark ‘√‘in relevant boxes
你希望参加什么样的讲座？请从下列选项中选择（可多项选择）

Dementia disease process Caregiver self care

失智症的病理与治疗 关护者之自我关护
Nutrition and person with dementia Available resources in the community
失智症的营养管理 社会协助资源
Communicating with person with dementia Activities and person with dementia
如何与失智症病患交流 活动与失智症病患
Fall risks and safety awareness All about Dementia
失智症与家庭安全意识 有关失智症的一切

How would you like to benefit from the interest group? Please indicate
你认为兴趣小组怎样可以让你有更多的受益? 请注明
.
What is a convenient time for you to join our programs?
什么时间你方便加入我们的活动？

Please mark ‘√‘ in the relevant boxes

请从下列选项中选择

Weekdays evenings (7 to 9pm) Sunday afternoons ( 2 to 4pm)

周日（晚上 7 至 9 点） 星期天（下午 2 至 4 点）
Saturday afternoons (2 to 4pm) Sunday late afternoons ( 4 to 6pm)
星期六（下午 2 至 4 点） 星期天（傍晚 4 至 6 点）
Saturday late afternoons (4 to 6pm) Others, please indicate
星期六（傍晚 4 至 6 点） 其它，请注明