TFS Resident Workshop Questionnaire

TFS Resident Workshop Questionnaire

Thank you for your interest in hosting a floral or plant-based workshop for your residents. Our goal is to create something meaningful, accessible, and joyful. This short questionnaire helps us tailor to your community.
Care Center name*
Care Center address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Full name of contact:*

First NameLast Name
Email address:*
example@example.com
Phone number:
Please enter a valid phone number.Format: (000) 000-0000.
Preferred date for workshop:

MonthDayYear
Date
Fresh floral arrangementMini potted plant / plant buddySeasonal centerpieceUnsure — open to recommendations
30 minutes45 minutes60 minutes
Social engagementCreative expressionSensory stimulationTherapeutic / calming experienceHoliday-themed activityIntergenerational opportunityOther
Mostly independentRequire light assistanceRequire significant assistance
NoneWheelchair access neededLimited hand strength / dexterityMemory care considerationsVisual limitationsOther
Will staff be available to assist residents during the workshop?*
Do you have a per-resident budget in mind?*
Will tables/chairs be provided?*
Is there sink/water access in the room?*
Any floral allergies we should be aware of?*
Is there anything special about your community we should know about to make this workshop especially meaningful?
Should be Empty: