Training recertification form - Playlist for Life

About you

Your first name*

Your last name*

Your email address*

The name of your establishment. This is the name that will appear on your award plaque. Please amend if the name is incorrect.*

Numbers

Please enter numbers only in the boxes below. If you are unable to answer a question please leave it blank. Please note: these statistics relate to the establishment named above. If the establishment is part of a larger care group please ensure you enter figures from the individual establishment not the whole group.

Number of patients / residents who have received a playlist over the past year*

Number of patients / residents who have used your service over the past year (e.g. numbers of residents in your home or numbers of patients who have passed through your ward)*

Lessons learned

Please describe any barriers you encountered in your use of playlists and tell us how you overcame them. You might want to think about your use of technology, difficulties with making a playlist for a resident, staffing issues, the involvement of relatives / visitors etc.*

Please tell us how you have involved and trained other staff or volunteers in your establishment since the initial training took place*

Achievements & successes

Please describe any improvements in resident / patient wellbeing you have witnessed.*

Please tell us about any particularly inspiring moments you or your team have witnessed.*

We love sharing good news stories about the use of playlists. If you are happy for us to share the successes and inspiring moments you have told us about please tick this box. We may share these on our social media, our website, or in our email newsletters. If you have any photos or videos you would like to share with us please email them to info@playlistforlife.org.uk.

Yes, please do publicise our successes

No, please do not share our successes publicly

Is there anything that we at Playlist for Life could do to help you roll out more playlists over the coming year?

Name

This field is for validation purposes and should be left unchanged.

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