Activity Evaluation - Single Sheet
UPDATED 2022
Use the Briggs Activity Evaluation togather information from the resident, the resident’s representative, or the resident’s family about how each resident prefers to spend their time.
Complete this form upon admission, readmission, quarterly, annually, and when significant change is apparent.
· Size: 8 ½” x 11”
· White paper, black ink
· 5-hole punched top and side
· 100 per pad