Simple Monthly Activity Participation Log — Fillable PDF | One Sheet Per Resident | Activity Director Documentation Tool

Stop recreating documentation from scratch every month.

This ready-to-use fillable PDF gives you a clean, professional way to track one resident's activity participation for the entire month — all on a single landscape page. Designed by an activity professional with 30 years of experience, this log was built for the real world — busy shifts, tight schedules, and the documentation pressure that never goes away.

📋 What's on the Form

✔ Resident Name, Room #, Facility, and Month/Year fields

✔ 31 rows — one per day, pre-numbered (row number = day of month)

✔ 3 activities per day, each with its own Participation Status and Level of Engagement field

✔ Notes column for each day

✔ Built-in shorthand key printed right on the form — no more writing out full words every time.

🔑 Built-In Key Codes (printed on every sheet)

Participation Status:

AT = Attended  |  RF = Refused  |  SL = Sleeping  |  OF = Out of Facility

DA = Dr. Appt  |  OA = Other Appt  |  NW = Not Well  |  NP = Not Present

Level of Engagement:

AC = Active  |  PA = Passive  |  MI = Minimal  |  EN = Engaged Non-Verbal  |  NA = N/A

🖨️ Two Ways to Use It

✔ Fill it digitally in Adobe Reader (free download) — all fields are clickable and typeable

✔ Print and complete by hand — clean layout, easy to read, easy to file

📄 What's Included

1 PDF file — landscape orientation, standard 8.5 x 11 inch paper

⭐ Perfect For

✔ Nursing homes & skilled nursing facilities

✔ Assisted living & memory care communities

✔ Adult day programs

✔ Any activity director who wants cleaner, faster documentation

📌 Please Note: This is a DIGITAL DOWNLOAD — no physical item will be shipped. You will receive your PDF file immediately after purchase. For single-facility use only.

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