GV Order Form: Better Brain Health

GrapeVine

Material Order Form

Partner Contact Information: *This question is required.

First Name

Last Name

Date of Session

Better Brain Health
Please enter the number of copies you need for this session only. Do not order more than needed for this session.

General Materials

If you are interested in ordering Well Badger Resource Center materials, please use the following link.

	Health Care Screening Results Card (WWHF)
	Health Resources Contact List (WWHF)
	Wisconsin Well Woman Program (WWWP) Information / Eligibility Guidelines
	Helping People Help Themselves to Better Health (WIHA)
	GrapeVine Notecard (WWHF) (Limit 5)

Better Brain Health Materials

	PowerPoint “Healthy Aging Brain” (06/2023)
	Influences on Chronic Disease
	Brain Teaser
	Signs and Symptoms of Dementia
	Take Care of Your Brain
	Exercise Tips / MIND Diet
	Alzheimer's Caregiving Tips - Caring for Yourself
	10 Steps to Approach Memory Concerns
	Aging & Disability Resource Centers
	SMART Goal-Setting Worksheet
	Participant Incentive Gift - Playing Cards

Spanish Better Brain Health Materials

	Spanish PowerPoint Presentation slides – Better Brain Health (07/17) (WWHF)
	Brain Teaser
	10 Signs of Alzheimer's
	What is Dementia
	Recipe - Sweet Potato & Black Bean Chili
	SMART Goal-Setting Worksheet - Tracker

Forms

	Educational Session Surveys (also includes Check List, Participant Sign-in Sheet(s), Session Report Form and Return Envelope) [Unit Forms]

Do you have any other requests or comments for this order? Please indicate here if you need any COVID kit materials: Signage with GrapeVine’s Face Covering and COVID-19 Symptoms Policies, box of disposable masks or hand sanitizer.