CST Session Outcome Forms
- 2 days ago
- 3 min read
Updated: 12 hours ago

Introduction to CST Feedback Forms
These feedback forms are designed to support high-quality, person-centred Cognitive Stimulation Therapy (CST). The Member Feedback Form gives participants the opportunity to share how they felt about the session, what they enjoyed, and what they would like more or less of. The Facilitator’s Form helps staff reflect on engagement, wellbeing, and how the session was delivered.
Together, these forms provide a fuller picture of each session, helping to celebrate what works well and guide improvements for future activities.

🧠 ASSISTING MEMBERS TO COMPLETE THIS CST SESSION FEEDBACK FORM – QUICK GUIDE
Reassure members about completion of the form ...
"This feedback form helps us understand how you felt about today’s Cognitive Stimulation Therapy (CST) session. Your thoughts and feelings are very important to us. There are no right or wrong answers - just choose what feels right for you. This will help us make future sessions more enjoyable, comfortable, and meaningful for everyone."
Guidelines for Supporting Completion
Create a calm environment
Sit somewhere quiet and free from distractions. Take your time—there is no rush.
Read each question slowly and clearly
Use a gentle, friendly tone. Pause after each question to give time to think.
Use simple explanations if needed
Rephrase questions in everyday language (e.g. “Did you enjoy it?” or “Did it make you feel good?”).
Point to options and visuals
Guide attention to the faces, symbols, or choices. These can often be easier than reading text.
Offer gentle prompts, not answers
Encourage with phrases like “What do you think?” or “How did it feel for you?” rather than suggesting responses.
Accept all responses
Every answer is valid. Avoid correcting or questioning their choice.
Support physical needs
Help with ticking boxes or writing if needed, while ensuring the person’s choice is respected.
Break it into small steps
Complete one section at a time to avoid overwhelm.
Watch for signs of fatigue
If the person becomes tired or frustrated, take a break or stop and return later.
End positively
Thank the person and acknowledge their contribution: “That’s really helpful—thank you.”

🧠 CST FACILITATOR’S FORM – QUICK GUIDE
This form is designed to support facilitators in recording meaningful observations during Cognitive Stimulation Therapy (CST) sessions. It provides a simple, structured way to capture each person’s enjoyment, engagement, and overall wellbeing, while also noting any difficulties or important comments. Used consistently, it helps build a clearer picture of how individuals respond to different activities, supporting person-centred care and improving future session planning.
👤 Name of member / Date / Session title
Record who attended, when, and what the session was about
Keep wording simple and consistent (e.g. “Music & Reminiscence – 1960s”)
😊 Level of enjoyment (1–5)
Rate how much the person appeared to enjoy the session
Use the faces as a guide:
1 (Low) = unhappy / distressed
3 = neutral / mixed
5 (High) = smiling, laughing, clearly enjoying
👉 Base this on facial expression, mood, and verbal comments
👥 Level of engagement (1–5)
Rate how much the person took part
Look for:
Speaking, singing, joining in
Eye contact, attention, responding
1 (Low) = withdrawn / not engaging
5 (High) = fully involved and participating
🌿 Signs of wellbeing
Note positive responses, such as:
Smiling, laughter
Relaxation or calmness
Social interaction
Reminiscence or meaningful conversation
⚠️ Signs of illbeing
Record any distress or difficulties, e.g.:
Anxiety, agitation
Withdrawal
Confusion or frustration
Fatigue
💬 Comments made
Write down notable quotes or reactions
These are very valuable for person-centred care
(e.g. “This reminds me of dancing with my wife”)
📝 Additional thoughts
Anything else relevant:
What worked well
What didn’t work
Ideas for next session
👩⚕️ Name of facilitator / Date of session
Complete for record keeping and continuity
✅ Top tips
Keep it brief and observational
Focus on the person, not just the activity
Look for small signs of engagement and wellbeing
Use consistently to track changes over time




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