Creative Connections Volunteer Monthly Report

Thank you for volunteering with Senior Services Creative Connections program.

Instructions:

1. Please complete this form in its entirety each month to document the number of calls and/or visits you made.

2. Please complete a "participant information section" for each participant you connected with each month.

Volunteer's Name (first and last) *

What month and year are your reporting? (ex: July 2024) *

Do you have participant interactions to report this month? *

Yes

No

Why were you unable to reach any participants this month? *

Participant Information (1)

Participant's Name (first and last) *

Program this participant is in *

Call Connections

Rooted in Love

Lawns of Love

Friendly Visits

How many conversations did you have with this participant this month? *

How many Rooted in Love visits did you have with this participant this month? *

How many Friendly Visitor visits did you have with this participant this month? *

How many lawn care visits did you make this month to this participant? *

Did you have trouble reaching this participant this month? *

Yes

No

Why (voicemail full, conflicting schedules, hospitalization, etc.)? *

Do you have any feedback about this participant this month?

Do you have connections with another participant to report for this month? *

Yes

No

Participant Information (2)

Participant's Name (first and last) *

Program this participant is in *

Call Connections

Rooted in Love

Lawns of Love

Friendly Visits

How many calls did you make to this participant this month? *

How many Rooted in Love visits did you have with this participant this month? *

How many Friendly Visitor visits did you have with this participant this month? *

How many lawn care visits did you make this month to this participant? *

Did you have trouble reaching this participant this month? *

Yes

No

Why (voicemail full, conflicting schedules, hospitalization, etc.)? *

Do you have any feedback about this participant this month?

Do you have connections with another participant to report for this month? *

Yes

No

Participant Information (3)

Participant's Name (first and last) *

Program this participant is in *

Call Connections

Rooted in Love

Lawns of Love

Friendly Visits

How many calls did you make to the participant named above? *

How many Rooted in Love visits did you have with this participant this month? *

How many Friendly Visitor visits did you have with this participant this month? *

How many lawn care visits did you make this month to this participant? *

Did you have trouble reaching this participant this month? *

Yes

No

Why (voicemail full, conflicting schedules, hospitalization, etc.)? *

Do you have any feedback about this participant this month?

General Feedback

Do you have any special moments or additional comments you would like to share with us? *

On a scale of 1-10, how would you rate your overall experience volunteering this month? *