Adopt a Senior Survey of volunteers Question Title * 1. Are you interested in helping a senior in our community during the COVID-19 social isolation period? Yes No Question Title * 2. What activities can you help with? Grocery buying and drop off Calling to check in on needs Other (please specify) Question Title * 3. Are you 18 years old or older? Yes No Question Title * 4. Please provide contact information Name Address Email Address Phone Number Done