3) Do you feel your friend is a good match for you? (examples: do you get along? do you have fun? Do you have any of the same interests?) Yes No Comments? 4) On average, how many hours a month do you spend with your friend? 0 1 2 3 4 5 6 7 8+ Please tell us about the following areas as they apply to your Compeer friend: 5a) What was your friend's job status when you first met him/her? Not Working Doing volunteer work Working part time Working full-time 5b) What is his/her job status now? Not Working Doing volunteer work Working part time Working full-time 6) What was your friend's housing status when you first met him/her? In the hospital/ in jail/in a residential treatment facility Transitional (homeless) Assisted living/group home Independent living 7) What is your friend's housing status now? In the hospital/ in jail/in a residential treatment facility Transitional (homeless) Assisted living/group home Independent living 8) Has your friend's crisis service use changed since you met him/her? Greatly increased Increased Has not changed Decreased Greatly decreased 9a) Have you ever gone to a Compeer event? Yes No 9b) If yes, which events do you most enjoy? If no, why haven't you attended a Compeer event? 10) What other kinds of activities would you like to see offered by Compeer?
11a) Do you talk to your Volunteer Coordinator? Yes No 11b) If yes, How would you rate this contact? Excellent Good Fair Poor
12) Is there any additonal staff suppoert you would like? 13a) Have you ever had contact with your friends Referring professional? Yes No NA 13b). If yes, how do you rate this contact? Excellent Good Fair Poor 14a) At this point in time, are you comfortable interacting with some people who have a mental illness? Yes No (skip 14b) 14b. If yes, has this volunteer experience contributed to your comfort level? Yes No NA 15) Do you ever dispell myths or stereotypes about mental illness when brought up in conversation or jokes? Yes No 16) Do you feel Compeer respects your background? Yes No 17) Would you recommend Compeer to a friend or family member? Yes No 18) Overall, are you satisfied with the Compeer's services? Yes No Comments? 19) Your name: THANK YOU VERY MUCH FOR YOUR INPUT!