Grandparent Feedback Form This form can be completed with the assistance of the care service if required. Name * First Name Last Name Age * Date of your first call * MM DD YYYY Date of most recent call * MM DD YYYY Why did you want to be involved in the Adopt a Grandparent? * I wanted to support young adults and children I enjoy spending time with young adults and children I don’t have any grandchildren of my own I wanted to talk to someone who shares my interest and hobbies I was lonely Are you enjoying the experience? * Yes No Do you look forward to your calls? * Yes No Please share with us a highlight from your calls? * Is one call a week enough? * Too often About right Would prefer to have more After your calls, how do you feel? * Happy Content Sad Frustrated Other Thank you!
