Contact / Visitation Report
Anyone that makes a contact during the week to a member or guest is asked to complete this form so that the church office can update their records.
 
1. Type of Contact Made: *
Phone
Visit in Home
Mail/Card
Other, please specify
   
 
2. Name, Address, Phone of the person contacted (Please enter as much of this information as you know) *
 
3. In detail, please descibe your contact (How were you received? Is this person interested in Mt. Airy? Are there any special circumstances or needs that the staff should know about?) *
 
4. Is a follow-up contact needed?
Yes No
 
5. If a follow-up contact is needed, how long should we wait before contacting this person again?
Immediately
1 Week
2 - 3 Weeks
4 to 6 weeks
Other, please specify
   
 
6. Person making contact (Your Name) *