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Home Visit 1 Report - HOME VISIT REPORT(Please save the...

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HOME VISIT REPORT (Please save the Home Visit Report as a Word Document before sending) Date of Visit: Your Name: Your Email: Your Phone Number: Your Family’s Phone Number: Names, ages and relationships of family members present at this visit: Name Age Relationship How do you rate the following: 1. Your team’s communication with volunteer family on this visit? Excellent Good Fair Poor 2. Your team’s communication over setting time and date for visit? Excellent Good Fair Poor 3. Communication between team members and family during the visit? Excellent Good Fair Poor 4. The level of teamwork in your student team in planning the visit (i.e. scheduling visit, planning who would do what, completing assigned tasks)? Excellent Good Fair Poor 5. The team members’ collaboration/participation during the visit? Excellent
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