Any media interview related to Alzheimer's Disease
or another form of dementia would be
appropriate for entry on this page. Please fill in the requested information below. Leave
blank those fields that do not apply or for which information is not available.
Minimum fields to fill out are in RED.
Last Name of Interviewee:
Date of Interview:
Name of Interviewer:
Media Company or Group:
CBS Health Watch)
If internet-based, what is
If broadcast media, are multiple
airings planned? Yes No
the interview be aired or posted?
Topic of Interview:
(e.g., recent advances in early detection of AD)
If TV or radio, what is the length
of broadcast? (in minutes)
Estimated Audience Size: (if
General Public / Mixed
Primarily Health Professionals
Primarily Lay Persons / Caregivers
Primarily Researchers / Academics
You are limited to 255 characters in this box. Feel free to use
abbreviations. If you have more to say, e-mail your comments with a
reference to this enter to Tom
Meuser, Education Director.