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  • The Guide
    • How to Use these Guidelines
    • The Relationship between Music and Dementia: An Overview
    • Quick Reference Guide to Music Selection for People with Dementia
    • Chapter 1 – Assessment of Vulnerability to Negative Responses
    • Chapter 2 – Identifying Key Changes to Behaviour
    • Chapter 3 – Personal Taste and Preferences
    • Chapter 4 – Selecting Music for Playlists: How Music Features Interact with Particular Symptoms
    • Chapter 5 – Creating and using playlists: making choices about technology
    • Chapter 6 – Monitoring and Managing Adverse Reactions
    • References
    • Appendix 1 – Vulnerability Scale template
    • Appendix 2 – Global Deterioration Scale, and the Seven Stages of Dementia
    • Appendix 3 – Changes in Behaviour template
    • Appendix 4 – Determining Music Preferences template
    • Appendix 5 – Examples of Songs by Genre, Tempo, & Decade
    • Appendix 6 – Template for Rating Strength of Response to Music
    • Appendix 7 – Listening Diary & Music Usage Plan template
  • Alternative Music Services
  • Playlist Examples
  • Templates
  • Feedback
  • Contact
Menu
  • Home
  • My Profiles
  • Help
    • Spotify Help
      • Getting Started with Spotify
      • Create playlists
      • Find playlists
      • Save and recover playlists
      • Collaborative playlists
      • Playlist privacy
      • Explicit content
      • Now Playing
      • Listen offline
    • Alternative Music Services
  • The Guide
    • How to Use these Guidelines
    • The Relationship between Music and Dementia: An Overview
    • Quick Reference Guide to Music Selection for People with Dementia
    • Chapter 1 – Assessment of Vulnerability to Negative Responses
    • Chapter 2 – Identifying Key Changes to Behaviour
    • Chapter 3 – Personal Taste and Preferences
    • Chapter 4 – Selecting Music for Playlists: How Music Features Interact with Particular Symptoms
    • Chapter 5 – Creating and using playlists: making choices about technology
    • Chapter 6 – Monitoring and Managing Adverse Reactions
    • References
    • Appendix 1 – Vulnerability Scale template
    • Appendix 2 – Global Deterioration Scale, and the Seven Stages of Dementia
    • Appendix 3 – Changes in Behaviour template
    • Appendix 4 – Determining Music Preferences template
    • Appendix 5 – Examples of Songs by Genre, Tempo, & Decade
    • Appendix 6 – Template for Rating Strength of Response to Music
    • Appendix 7 – Listening Diary & Music Usage Plan template
  • Alternative Music Services
  • Playlist Examples
  • Templates
  • Feedback
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  • My Profiles
  • Help
    • Spotify Help
      • Getting Started with Spotify
      • Create playlists
      • Find playlists
      • Save and recover playlists
      • Collaborative playlists
      • Playlist privacy
      • Explicit content
      • Now Playing
      • Listen offline
    • Alternative Music Services
  • The Guide
    • How to Use these Guidelines
    • The Relationship between Music and Dementia: An Overview
    • Quick Reference Guide to Music Selection for People with Dementia
    • Chapter 1 – Assessment of Vulnerability to Negative Responses
    • Chapter 2 – Identifying Key Changes to Behaviour
    • Chapter 3 – Personal Taste and Preferences
    • Chapter 4 – Selecting Music for Playlists: How Music Features Interact with Particular Symptoms
    • Chapter 5 – Creating and using playlists: making choices about technology
    • Chapter 6 – Monitoring and Managing Adverse Reactions
    • References
    • Appendix 1 – Vulnerability Scale template
    • Appendix 2 – Global Deterioration Scale, and the Seven Stages of Dementia
    • Appendix 3 – Changes in Behaviour template
    • Appendix 4 – Determining Music Preferences template
    • Appendix 5 – Examples of Songs by Genre, Tempo, & Decade
    • Appendix 6 – Template for Rating Strength of Response to Music
    • Appendix 7 – Listening Diary & Music Usage Plan template
  • Alternative Music Services
  • Playlist Examples
  • Templates
  • Feedback
  • Contact
Menu
  • Home
  • Create an account
  • Log In
  • Log Out
  • My Profiles
  • Help
    • Spotify Help
      • Getting Started with Spotify
      • Create playlists
      • Find playlists
      • Save and recover playlists
      • Collaborative playlists
      • Playlist privacy
      • Explicit content
      • Now Playing
      • Listen offline
    • Alternative Music Services
  • The Guide
    • How to Use these Guidelines
    • The Relationship between Music and Dementia: An Overview
    • Quick Reference Guide to Music Selection for People with Dementia
    • Chapter 1 – Assessment of Vulnerability to Negative Responses
    • Chapter 2 – Identifying Key Changes to Behaviour
    • Chapter 3 – Personal Taste and Preferences
    • Chapter 4 – Selecting Music for Playlists: How Music Features Interact with Particular Symptoms
    • Chapter 5 – Creating and using playlists: making choices about technology
    • Chapter 6 – Monitoring and Managing Adverse Reactions
    • References
    • Appendix 1 – Vulnerability Scale template
    • Appendix 2 – Global Deterioration Scale, and the Seven Stages of Dementia
    • Appendix 3 – Changes in Behaviour template
    • Appendix 4 – Determining Music Preferences template
    • Appendix 5 – Examples of Songs by Genre, Tempo, & Decade
    • Appendix 6 – Template for Rating Strength of Response to Music
    • Appendix 7 – Listening Diary & Music Usage Plan template
  • Alternative Music Services
  • Playlist Examples
  • Templates
  • Feedback
  • Contact

Appendix 4 – Determining Music Preferences template

Adapted from Gerdner, L. A., Hartsock, J., Buckwalter, K. C. (2000).

Questionnaire for the person living with dementia

These responses can be useful when selecting music.

Music-Preferences-1Download

Family Questionnaire

Please complete this questionnaire based on your knowledge of the music preferences of the person living with dementia. These responses can be useful when selecting music.

Music-Preferences-2Download
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