Sage Stream Evaluation Question Title * 1. Name of Organization Question Title * 2. Name of Activity Person Present Question Title * 3. What type of activity was it? Group Individual Combination Question Title * 4. What was the name of the educator / entertainer? Question Title * 5. Activities Design - Met activity director’s goals and objectives 1 2 3 4 5 N/A 5 - Strongly Agree N/A 1 2 3 4 5 N/A 4 - Agree N/A 1 2 3 4 5 N/A 3 - Neutral N/A 1 2 3 4 5 N/A 2 - Do not agree N/A 1 2 3 4 5 N/A 1 - Strongly Disagree N/A Question Title * 6. Activities Design - Duration of activity was appropriate 1 2 3 4 5 N/A 5 - Strongly Agree N/A 1 2 3 4 5 N/A 4 - Agree N/A 1 2 3 4 5 N/A 3 - Neutral N/A 1 2 3 4 5 N/A 2 - Do not agree N/A 1 2 3 4 5 N/A 1 - Strongly Disagree N/A Question Title * 7. Activities Design - Technology functioned properly on viewer’s side 1 2 3 4 5 N/A 5 - Strongly Agree N/A 1 2 3 4 5 N/A 4 - Agree N/A 1 2 3 4 5 N/A 3 - Neutral N/A 1 2 3 4 5 N/A 2 - Do not agree N/A 1 2 3 4 5 N/A 1 - Strongly Disagree N/A Question Title * 8. Activities Design - Technology functioned properly on presenter's side 1 2 3 4 5 N/A 5 - Strongly Agree N/A 1 2 3 4 5 N/A 4 - Agree N/A 1 2 3 4 5 N/A 3 - Neutral N/A 1 2 3 4 5 N/A 2 - Do not agree N/A 1 2 3 4 5 N/A 1 - Strongly Disagree N/A Question Title * 9. Educator / Entertainer - Related well with participants 1 2 3 4 5 N/A 5 - Strongly Agree N/A 1 2 3 4 5 N/A 4 - Agree N/A 1 2 3 4 5 N/A 3 - Neutral N/A 1 2 3 4 5 N/A 2 - Do not agree N/A 1 2 3 4 5 N/A 1 - Strongly Disagree N/A Question Title * 10. Educator / Entertainer - Communicated clearly 1 2 3 4 5 N/A 5 - Strongly Agree N/A 1 2 3 4 5 N/A 4 - Agree N/A 1 2 3 4 5 N/A 3 - Neutral N/A 1 2 3 4 5 N/A 2 - Do not agree N/A 1 2 3 4 5 N/A 1 - Strongly Disagree N/A Question Title * 11. Educator / Entertainer - Maintained participants' interest 1 2 3 4 5 N/A 5 - Strongly Agree N/A 1 2 3 4 5 N/A 4 - Agree N/A 1 2 3 4 5 N/A 3 - Neutral N/A 1 2 3 4 5 N/A 2 - Do not agree N/A 1 2 3 4 5 N/A 1 - Strongly Disagree N/A Question Title * 12. Educator / Entertainer - Knew their material and/or their craft 1 2 3 4 5 N/A 5 - Strongly Agree N/A 1 2 3 4 5 N/A 4 - Agree N/A 1 2 3 4 5 N/A 3 - Neutral N/A 1 2 3 4 5 N/A 2 - Do not agree N/A 1 2 3 4 5 N/A 1 - Strongly Disagree N/A Question Title * 13. Resident Response and Participation - Residents actively participated in session 1 2 3 4 5 N/A 5 - Strongly Agree N/A 1 2 3 4 5 N/A 4 - Agree N/A 1 2 3 4 5 N/A 3 - Neutral N/A 1 2 3 4 5 N/A 2 - Do not agree N/A 1 2 3 4 5 N/A 1 - Strongly Disagree N/A Question Title * 14. Resident Response and Participation - Residents who could verbally participated (asking & answering questions/singing along) 1 2 3 4 5 N/A 5 - Strongly Agree N/A 1 2 3 4 5 N/A 4 - Agree N/A 1 2 3 4 5 N/A 3 - Neutral N/A 1 2 3 4 5 N/A 2 - Do not agree N/A 1 2 3 4 5 N/A 1 - Strongly Disagree N/A Question Title * 15. Resident Response and Participation - Verbal and Non-Verbal residents participated by smiling/nodding, blinking, opening eyes, moving mouth, positive expressions 1 2 3 4 5 N/A 5 - Strongly Agree N/A 1 2 3 4 5 N/A 4 - Agree N/A 1 2 3 4 5 N/A 3 - Neutral N/A 1 2 3 4 5 N/A 2 - Do not agree N/A 1 2 3 4 5 N/A 1 - Strongly Disagree N/A Question Title * 16. Resident Response and Participation - Body movement - hand, finger, any - indicated participation 1 2 3 4 5 N/A 5 - Strongly Agree N/A 1 2 3 4 5 N/A 4 - Agree N/A 1 2 3 4 5 N/A 3 - Neutral N/A 1 2 3 4 5 N/A 2 - Do not agree N/A 1 2 3 4 5 N/A 1 - Strongly Disagree N/A Question Title * 17. Did you observe changes in emotional levels prior to and after that indicating successful participation? i.e. relaxed behavior, increased alertness, breathing patterns, mood in room elevated. Yes, a lot of positive change. Yes positive. Yes, somewhat positive. Not observable. Somewhat negative changes. Negative changes. Yes, a lot of negative change. Question Title * 18. Were family members present for activity? Yes No Question Title * 19. Ask participants if they experienced program in a way meaningful to them. Yes No Question Title * 20. Do they want more programs like this? Yes No Question Title * 21. Do they want that artist/educator to live stream again? Yes No Question Title * 22. Comments Done
