Digital Art School NHS Annual Survey

Digital Art School Facilitator Certificate Form

As a part of our Digital Art School Facilitator community, we are inviting you to complete a short survey. Your responses will help us to ensure that we can continue to deliver high-quality artist-led workshops which are accessible and impactful for your service users, and that we are supporting you to deliver them. This form should take 2-3 minutes to complete.
Have you received a Hospital Rooms Digital Art School materials box for your unit?

YesNo
Please enter the box number
You can find your box number stamped on the corner of the inside lid
Your name

First NameLast Name
Your job title
Please tell us about your unit and service users

Please tell us about the mental health service participating in the Digital Art School. What type of service is it, and what are the demographics of your service users? What else would you like us to know about your service users?
NHS Trust
If your Trust is not listed, please add it below.
Name of Unit
if applicable
Type of Service
(e.g. Adult Acute, CAMHS, PICU, Forensic, Specialist)
Is there anything else you would like to tell us about your unit and service users?
Access to creativity for your service users

To better understand and improve the impact of the Digital Art School over the next 3 years, we would like to measure the extent to which your service users have the opportunity to engage with creative activity currently.
Have you taken part in a Digital Art School workshop before?

YesNo
Please tell us more about your previous involvement with the Digital Art School.

Thinking about your current clinical environment, please indicate on the frequency scale below.

	Never	Sometimes	Often
Our service users have access to creative activities
Our service users have access to art materials
Our staff feel supported and able to deliver creative activities

Please explain the reason for your answers.
Is there anything else you would like to share with our team?
Consent & sharing your feedback

As a Digital Art School Facilitator, your valuable feedback will contribute directly towards informing and improving the Digital Art School. Occasionally, we may also wish to quote your feedback.
Please read the below statements and indicate your agreement in the checkbox. If you do not agree, please leave blank.

I agree for Hospital Rooms to share quotes from this feedback for the purposes of evaluation reports, peer to peer learning, public presentations, social media, and with our partners.I am happy for quotes to be attributed to my name, job title and/or NHS service.
Invitation to feedback interview

Throughout the year, we would like to speak with Digital Art School Facilitators directly to find out more about the impact of the Digital Art School for you and your service users. This would be a 15-30 minute informal interview via phone call with a member of our team.
Please indicate below if you would like to be contacted about this opportunity. If you do not wish to take part, please leave blank.

I am happy to be contacted about an informal 15-30 minute phone interview with a member of the Digital Art School team.
Email
example@example.com
Thank you for completing this form.
Should be Empty:

Digital Art School Facilitator Certificate Form

Please tell us about your unit and service users

Access to creativity for your service users

Consent & sharing your feedback

Invitation to feedback interview

Thank you for completing this form.