Welcome to Lunder-Dineen - Health Education Alliance of Maine   Click to listen highlighted text! Welcome to Lunder-Dineen - Health Education Alliance of Maine
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MOTIVATE at Home Registration Form

MOTIVATE at Home is a new program to educate care partners of older adults living at home. We would like to learn from your experience using our site. You will answer a few questions now and another set of questions will be emailed to you within one week. In order to participate, you need to complete at least one learning pathway on the site. The first 30 caregivers who opt into the evaluation will receive a $25 Amazon or Hannaford gift card.

MOTIVATE at Home Registration Form

Step 1 of 2

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Name
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Email
What is your gender?(Required)
What is your relationship to the person you are caring for?(Required)
They are my:
To what extent is the person you care for able to perform home oral health care?(Required)
e.g., tooth brushing or flossing on their own?
9. Do you provide hands-on oral care for the person you care for?(Required)
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