* What is your relationship to the senior?

I'm a family member

I'm their private caregiver

They live in a senior community that I work at

* Respondent

* Community

* Senior

* Does the senior ever verbalize their feelings of isolation or loneliness (i.e, missing their old friends/loved ones)?

Select At least once per day At least once per week At least once per month Hardly ever Never

* How often does the senior receive visits from friends or family members who do not live with them?

Select At least once per day At least once per week At least once per month Hardly ever Never

* How long do you notice a positive impact on the senior’s mental state from their visit with the volunteers from Conversations to Remember?

Select I don't notice any positive impact The positive impact lasts for the duration of the call only The positive impact lasts for an hour or more after the call, but not the full day The positive impact lasts for the day of the call The positive impact lasts for a couple of days after the call The positive impact lasts for a week, until their next call

* Does the senior express that they are looking forward to their weekly visits with Conversations to Remember?

Select They don't Only when asked More than once per day About once per day About once per week

* How does Conversations to Remember's visits with the senior impact you?

Select There is no impact on me I get a short break to focus on other things I feel good, seeing how much they enjoy it I get a short break and feel good

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