Dear Volunteer,

Please take a moment to complete this brief questionnaire—one for each of your recipients. Your suggestions will be very helpful so we can better serve our seniors and plan for next year.

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* 1. Volunteer Information

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* 2. Senior Information

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* 3. Please rate your levels of satisfaction with the following aspects of our event.

  Excellent Very Good Good Fair Poor N/A
Morning's Registration
Assembly Activities
Morning's Assignments
Basket Deliveries
Staff Friendliness
Overall Satisfaction

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* 4. Is the senior lacking appropriate personal hygiene or basics?

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* 5. Did you observe any dangerous situations or safety issues (broken windows, loose areas rugs, water leak)? If yes, please explain.

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* 6. How was this visit meaningful for you?

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* 7. I am interested to be an on-going volunteer companion with this senior and will appreciate if JCS finds out the senior’s interest and contact back.

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* 8. How many times have you attended a Milk & Honey/Matzah Mitzvah & More event of JCS?

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* 9. How likely are you to recommend this event to a friend or family?

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