Treasured Objects Feedback Form

We hope you have enjoyed today’s session. Please could you spend a few minutes to provide us with some feedback? Ideally now while it is fresh in your mind!

If you are on your own, please just complete it for “Participant No 1”

Name - Person 1 *

First

Last

Name - Person 2 (Supporter or carer) *

First

Last

Participant 1: How would you rate today's session overall (5=Best)

Selected Value: 0

And Participant 2?

Selected Value: 0

Participant 1: What have you enjoyed most about the sessions?

Participant 2?

Do you feel you were adequately supported (5=Best)

Selected Value: 0

Participant 2?

Selected Value: 0

For both of you: What additional support would you have liked *

Participant 1: What have you enjoyed finding out about the Wallace Collection? *

And Participant 2?

For both of you again - What would you like us to think about going forward?

For both of you again - Any suggestions for future sessions?

How do you think your mood may have changed during today's session *

Much better now
A bit better now
No change
A bit worse now
Much worse now

And Participant 2?

Much better now
A bit better now
No change
A bit worse now
Much worse now

Finally, can you think of any arts activities (in the broadest sense) you have engaged in during the last week?

And person 2?

Thank you so much!

Contact us

Address

Correspondence address:
Arts 4 Dementia, 70a Edgewood Drive, Green Street Green, Kent BR6 6LH

Registered address:
Arts 4 Dementia, Zeeta House, 200 Upper Richmond Road, London SW15 2SH

Registered Company No: 07511427
Registered Charity No: 1140842

Telephone

020 3633 9954

E-Mail

info@arts4dementia.org.uk

Social media

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Our Supporters

Our Patrons

HSH Dr Donatus Prince von Hohenzollern, Harry Cayton CBE, Katie Derham, Sir Richard Eyre CBE, FRSL, Colin Ford CBE, Dame Emma Kirkby DBE, Professor Sir Andrew Motion FRSL, FRSA, Baroness Neuberger DBE, Dr Charles Robert Saumarez Smith CBE, Andrew Wilton FSA, Gillian Wolfe CBE, FRSA, Chair of the Conference Committee

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