Count Form For  Visiting Nursing Homes

Show your older friends at the nursing home that you care about them. 

Do these things and ask them these questions.

 

1. How many names of your older friends that you met today do you remember?	________________
2. How many older friends did you help to smile today?	________________
3. How many of your older friends shook your hand today?	________________
4. How many of your older friends did you hug?	________________
5. How many of your older friends told you what their job used to be?	________________
6. How many of your older friends told you where they were born?	________________
7. How many of your older friends told you where they went to church?	________________
TOTAL YOUR ANSWERS:	________________

 

 

GREAT!!! During your visit, you counted at least this many times!   

 

 

(Mom and Dad or group leader, click here for a free .pdf file of this table for you to copy and use when you and your children next visit a care center.)