Volunteer Activity Report

Hours & minutes

Please type time in hours and minutes (round to 15 minutes). Examples of DIRECT time include: visit with patient, relief for primary caregiver, visit with patient’s family, light housekeeping, child care, reading, writing, errands, shopping, singing, playing music, attending patient’s funeral. (Does not include TRAVEL time.)

Please type time in hours and minutes (round to 15 minutes). If none, put zero. Examples of INDIRECT time include: telephone call to patient/patient’s family/caregiver, telephone call to patient’s care facility, telephone call or meeting with hospice staff regarding your patient, telephone call from hospice staff coordinating delivery of medications/supplies. (Does not include TRAVEL time.)