Activity Evaluation
UPDATED 2021
Briggs Activity Evaluation form is a tool for gathering information about how each resident:
•Prefers to spend his/her time
•Participation in activities
•Socialization patterns
•Preferences (coincides with Section F - MDS 3.0)
•Adaptive equipment
There is space provided for four (4) evaluations.
Size: 8 ½” x 11”
Paper: White paper; black ink
Copy: Prints 2-sides
Punching: 5-holes top and side
Packaging: 100 per pad