Family Engagement
Family Engagement Quiz
Welcome to the Family Engagement Quiz! This quiz is designed to help gather valuable insights regarding the activities and interests of your loved ones. Your participation will enable us to create a vibrant and engaging program tailored to enhance the quality of life for everyone involved.
By completing this quiz, you will share your thoughts on:
- Preferred activities
- Volunteer opportunities
- Creative and lifestyle pursuits
Would you like to be contact or send information regarding activity programs and events?
Yes
No
List the 3 top priority that are important to you and your loved one. ( Please list them in the order of most important to least important. )
Would you like to volunteer your time to help with activity programs, outings, or events?
Yes
No
Organized activities my loved one enjoys and/or I would like to see more of: (Select "other" to comment.)
Bingo
Movies
Happy Hour
Clubs
Shopping
Crafts
Bowling
Singing
Guest Speakers
Reading Circle
Bible Study
Pet Visits
Social Gatherings
Other
Please Specify:
Creative activities my loved one enjoys and/or I would like to see more of: (Select "other" to comment.)
Painting
Coloring
Cooking
Drawings
Collage
Mosaics
Sculpting
Pastels
Other
Please Specify:
Life style pursuits my loved one enjoys and/or I would like to see more of: (Select "other" to comment.)
Religion
Massage
Reminiscing
Scrapbooking
Group Discussion
Other
Please Specify:
Individual pursuits my loved one enjoys and/or I would like to see more of: (Select "other" to comment.)
Books
Walking
Crossword
Puzzles/ Brain Teasers
Quizzes
Trivia
Other
Please Specify:
Multi sensory activities my loved one enjoys and/or I would like to see more of: (Select "other" to comment.)
Sensory Stimulation
Exercises
Outings
Sortings
Visual Props (photo albums, magazines)
Pet Visits
Social Activities
Gardening
Sing Alongs
Aromatherapy
Grouping
Dancing
Food Parties
Volunteer visitations
Other
Please Specify:
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