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?

Question Title

* 4. What was the name of the artist?

Question Title

* 5. Activities Design - Met your goals and objectives

Question Title

* 6. Activities Design - Duration of activity was appropriate

Question Title

* 7. Activities Design - Technology functioned properly on viewer’s side

Question Title

* 8. Activities Design - Technology functioned properly on presenter's side

Question Title

* 9. Educator / Entertainer - Related well with participants

Question Title

* 10. Educator / Entertainer - Communicated clearly

Question Title

* 11. Educator / Entertainer - Maintained participants' interest

Question Title

* 12. Educator / Entertainer - Knew their material and/or their craft

Question Title

* 13. Response and Participation - In Community, Residents actively participated in session. Individual Subscriber / Home Care Client - actively participated.

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.

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

Question Title

* 16. Resident or Individual Response and Participation - Body movement - hand, finger, any - indicated participation

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.

Question Title

* 18. Were family members present for activity?

Question Title

* 19. Ask participants if they experienced program in a way meaningful to them.

Question Title

* 20. Do they want more programs like this?

Question Title

* 21. Do they want that artist/educator to live stream again?

Question Title

* 22. Therapy Goals - Did program achieve any of these? Check all boxes that apply.

Question Title

* 23. Comments

T