Volunteer Full Name*   Email address Friend's First Name* Month* January February March April May June July August September October November December   Hours spent visiting with friend* Number of visits with friend* Hours spent on phone with friend Number of phone calls with friend Briefly describe the activities in which you and your friend participated this month? Do you have any questions or concerns - or any good news - about your friendship? Please note any changes in you or your friend's address, phone, or therapist? Has your friend been admitted to a psychiatric hospital this month? Yes No   If yes, please list date and hospital here: Has your friend been discharged from a psychiatric hospital this month? Yes No If yes, please list date and new address: Do you want your friend's therapist to call you? Yes No * required fields