Sage Stream Evaluation V2 Question Title * 1. Name of Organization / Individual Subscriber / Caregiver Question Title * 2. If In a Community - 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 artist? Question Title * 5. Activities Design - Met your goals and objectives 5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Do not agree 1 - Strongly Disagree Question Title * 6. Activities Design - Duration of activity was appropriate 5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Do not agree 1 - Strongly Disagree Question Title * 7. Activities Design - Technology functioned properly on viewer’s side 5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Do not agree 1 - Strongly Disagree Question Title * 8. Activities Design - Technology functioned properly on presenter's side 5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Do not agree 1 - Strongly Disagree Question Title * 9. Educator / Entertainer - Related well with participants 5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Do not agree 1 - Strongly Disagree Question Title * 10. Educator / Entertainer - Communicated clearly 5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Do not agree 1 - Strongly Disagree Question Title * 11. Educator / Entertainer - Maintained participants' interest 5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Do not agree 1 - Strongly Disagree Question Title * 12. Educator / Entertainer - Knew their material and/or their craft 5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Do not agree 1 - Strongly Disagree Question Title * 13. Response and Participation - In Community, Residents actively participated in session. Individual Subscriber / Home Care Client - actively participated. 5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Do not agree 1 - Strongly Disagree Question Title * 14. Resident or Individual Response and Participation - Verbally participated (asking & answering questions/singing along). We list detailed therapy goals at the end, which are optional to answer but will help us improve. 5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Do not agree 1 - Strongly Disagree Question Title * 15. Resident or Individual Response and Participation - Verbal and Non-Verbal residents participated by smiling/nodding, blinking, opening eyes, moving mouth, positive expressions 5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Do not agree 1 - Strongly Disagree Question Title * 16. Resident or Individual Response and Participation - Body movement - hand, finger, any - indicated participation 5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Do not agree 1 - Strongly Disagree 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. Therapy Goals - Did program achieve any of these? Check all boxes that apply. Increased energy level of the individual or in the room Improve hand-eye coordination Maintain or improve range of motion Increased relaxation Eased pain Improved attention Improve awareness of person, place, time Improve ability to follow simple and complex directions Increase participation Reduce behaviors that interfere with care Improve speech and verbal communication Experience exceptional moments of human interaction Increase social interaction Decrease isolationImprove interpersonal skills Build relationships or bond with group Improve self expression Strengthen sense of identity Improve coping strategies Decrease anxiety Learn or retrieve a skill Question Title * 23. Comments Done