Long Term Care Recreation Program Survey (2019)

Question Title

* 1. Facility Name

Brentwood Care Centre

Chinook Care Centre

Southwood Care Centre

Question Title

* 2. Name (Optional)

Question Title

* 3. Facility Unit

Parkland

Parkland Annex

Fairview (Butterfly)

Willow Park (Butterfly)

Evergreen

Bonavista

Chinook Park

Richards Way

Bel-Aire

Park Place

Fosters Way

St. Andrews

St. Andrews (Secure Unit)

Hillhurst

Sunnyside

Morrison

Other (Specify)

Question Title

* 4. Response From:

Resident

Family Member

Both

Other (Specify)

Other (please specify)

Question Title

* 5. Recreation Activities

Please check off all recreations activities/programs listed below that you would like the Care Centre to begin to offer and/or continue to offer to our residents.

Bingo/Card Bingo

Bowling

Card Games

Board Games

Trivia/Word Games

Other Games

Entertainment

Arts/Crafts

Reading Aloud/Current Events

Interactive Discussion

Travel Videos

Movie Videos

Music Videos

Music Therapy

Sing-a-longs

Sensory Stimulation

Reminiscing/Memory Care

Hand Massage/Manicures

Large Group Socials

Small Group Socials

One to One Visits

Baking/Cooking

Unit Breakfasts

Meal Clubs

Food Tasting

Tea Parties

Monthly Tea Parties

Special Events (e.g. BBQ)

Exercises

Outings

Indoor/Outdoor Walks

Gardening/Watering Plants

Pals (Pet Visits)

Inter-generational Programs

Church Services/Pastoral Visits

Hymn Sing

Other (please specify)

Question Title

* 6. What recreation programs would you like to see more often for residents, if possible?

Question Title

* 7. Please provide suggestions on recreation programs that are currently NOT offered but that you believe would be beneficial to residents

Question Title

* 8. A minimum of three (4) different types of Resident Outings are provided each month. Are there any types of Resident Outings that you would like to go on that we have not offered yet?

Question Title

* 9. Do the current recreation programs times for residents meet your preferences and needs?

Yes

No (if no, please answer Question #10)

Question Title

* 10. What program times would better meet with your preference and needs?

Mornings

Afternoons

Evenings

Saturdays

Sundays

Question Title

* 1. Facility Name

Question Title

* 2. Name (Optional)

Question Title

* 3. Facility Unit

Question Title

* 4. Response From:

Question Title

* 5. Recreation ActivitiesPlease check off all recreations activities/programs listed below that you would like the Care Centre to begin to offer and/or continue to offer to our residents.

Question Title

* 6. What recreation programs would you like to see more often for residents, if possible?

Question Title

* 7. Please provide suggestions on recreation programs that are currently NOT offered but that you believe would be beneficial to residents

Question Title

* 8. A minimum of three (4) different types of Resident Outings are provided each month. Are there any types of Resident Outings that you would like to go on that we have not offered yet?

Question Title

* 9. Do the current recreation programs times for residents meet your preferences and needs?

Question Title

* 10. What program times would better meet with your preference and needs?

Question Title

* 11. Please provide any additional feedback to help us plan and provide beneficial recreation programming to our residents

* 5. Recreation Activities

Please check off all recreations activities/programs listed below that you would like the Care Centre to begin to offer and/or continue to offer to our residents.