Temporary Contact Person Volunteer Feedback Form

First Name:      Last Initial:  


Home Group:    District: 

Home Phone:
Cell Phone:   A Reminder that only blocked numbers should be used.

First Name:    

Were you able to contact the Newcomer on the prearranged call time? Yes    No
Were you able to contact the Newcomer on the first attempt? Yes    No
How many call attempts did it take to contact the Newcomer? Few   Many

Were you able to attend a variety of meetings with the Newcomer? Yes    No
Were there any difficulties with committing to the suggested 2 weeks of meetings? Yes    No

I have completed the bridging the gap process with my Newcomer.Yes    No
I would like to continue Bridging the Gap with others, please keep my name on the list of contacts. Yes    No
Thank you for the opportunity to serve, please remove my name from the contact list. Yes    No