Revised 1.25.21

DATA COLLECTION FORM
Account for the frequency information.
Place an “X” in the F box for every occurrence	completes all assigned volunteer tasks and 
asks question of Volunteer Coordinator for clarity about assignment

*NOTE TO STAFF: Customize directions for the staff/ participant to follow so they know how to complete the data sheet

F

Ask Q. of Vol.
Coord.

F

Ask Q. of Vol.
Coord.

F

Ask Q. of Vol.
Coord.

F

Ask Q. of Vol.
Coord.

F

Ask Q. of Vol.
Coord.

F

Ask Q. of Vol.
Coord.

Total F

Total Q.
Asked of Vol.
Coord.

MON.
Comments:

TUES.
Comments:

WED.
Comments:

THURS.
Comments:

FRI.
Comments:

WE

EKLY TOTALS: