Member Evaluation Survey – TimeSlips Creative Storytelling

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Introductory Text

Thank you for putting time aside to complete and provide feedback on TimeSlips’ new evaluation tool! The 3-5 minutes you spend today will help our programs continue to improve and make the case to new funders. Below are a few key definitions about TimeSlips:

TimeSlips programming: We are referring to the TimeSlips techniques you have learned, such as: Asking a Beautiful Question (an open-ended question with no right or wrong answers), Yes, And… (radically accepting what your Storyteller offers and adding to it), and/or Proof of Listening (validation of the Storyteller’s response).

Storyteller(s): We are referring to the person or people you use TimeSlips with. This may be someone living with dementia, an older adult, or anyone that you have chosen to use creative engagement with. The Storyteller could be one person or a group of Storytellers.

All responses will be kept confidential and TimeSlips will not link individuals to the responses provided. In other words, we welcome any and all feedback to accurately understand our impact!

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Part I: Introduction Questions

I use TimeSlips programming in the following ways:

Mostly during scheduled TimeSlips sessions

Mostly during casual conversations

Both during scheduled sessions as well as casual conversations

My engagement with Storyteller(s) is:

Mostly with groups

Mostly with individuals

Both with groups as well as with individuals

My level of comfort while using TimeSlips programming is best described as:

Not very comfortable

Somewhat comfortable

Comfortable

Part II: Impact Evaluation

When using TimeSlips…

… I experience an increased sense of connection with my Storyteller(s).*

… I observe an increased sense of connection amongst my Storyteller(s) and others (myself included).*

… I experience joy while engaging with my Storyteller(s).*

… I observe a sense of joy from my Storyteller(s).*

… I observe a sense of joy between and amongst the Storyteller(s) and other elders in the room.*

As a result of using TimeSlips

… I feel like I’m making a difference in someone else’s life.*

… I have an increased sense of purpose in my caregiving work.*

While this survey is requesting feedback from our facilitators, we want to better understand the impact on our Storytellers. Please share your observations about the Storyteller(s) while engaging with TimeSlips programming. All observations are welcome, especially those which express connectedness, purpose, and joy.

Please share any additional thoughts or feelings that you have related to the impact of TimeSlips in your caregiving work.

Part III: Program Assessment

Roughly how many times have you used TimeSlips in the last 6 months?*

Please enter a number from 0 to 200.

Roughly how many total Storytellers have you engaged in the last 6 months?*

Please enter a number from 0 to 200.

What suggestions do you have to improve TimeSlips membership?