• Do you participate in activities here?  If not, why? 

• Do the activities meet your interests?  If not, what type of activities would you like the facility to offer? 

• Are activities offered on the weekends and evenings? If not, would you like to have activities on the weekends or in the evenings?  

• Do staff provide activities you can do on your own (cards, books, other)?   

If resident is in the facility for rehab or is a young resident who says they don’t care to participate in the activities, determine: 

• If it is because the activities don’t interest them.  

or  

• If they wouldn’t participate in activities no matter what was offered. If they don’t want to participate in activities (offered or not), then mark activities as No Issues.