Video Feedback Form

Name of Care Home

Did the video bring any benefit to your residents/members? Did the video bring any benefit to your residents/members? Very much so - The activity was almost universally enjoyed and made a significant difference to the feel of the home Yes, a little - The activity helped lift the mood of the home a little and was enjoyed by some of the residents and staff Not at all - The activity brought no benefit, or even negative effects to the home, causing complaints, or getting in the way of staff

Please tell us any positive feedback or quotations from residents.

Please tell us any negative feedback or quotations from residents.

Please add any stories or examples that show how individual residents reacted to the event.

Suggestions for Future Videos (eg. suitability of length, recognition of musicians, choice of music etc)