Centre Daily Drop-ins
If you're filling out this form for a split shift, add the names of the other interns who were on today. The koha will be split evenly between you both.
Which drop-in centre is this form for?
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Auckland drop-in centre
Tauranga drop-in centre
Intern #1 Name
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First Name
Last Name
What time did you arrive?
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Hour
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Minutes
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PM
AM/PM Option
What time did you leave?
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Hour
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10
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Minutes
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AM/PM Option
Intern #2 name:
First Name
Last Name
What time did you arrive?
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
What time did you leave?
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Which drop-in centre are you recording drop-ins for?
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Auckland
Tauranga
How long did you intern for?
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Half day
Full day
What date are you recording drop-ins for?
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/
Day
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Month
Year
Date
Date Picker Icon
About the centre drop-ins
How many people came in to the centre today?
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Include everyone! Staff, board, facilitators, meetings, young people etc
Of the people who visited the centre today, how many were STAFF?
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Of the people who visited the centre today, how many were BOARD?
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Of the people who visited the centre today, how many were REGULARS?
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How many of the young people (27 or under) that stopped by today would be considered regular visitors to the centre (i.e. those who visit the centre on at least two separate days of the week, most weeks)
Of the people who visited the centre today, how many were 28 OR OLDER?
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(I.e. not youth)
What people came in for
Of the people 27 and under who came into the centre today, excluding staff, board members and regulars, what did they come into the centre for? Tick all that apply.
To use the internet
To use another centre resource, like books, XBOX or DVD's
To browse the Community Wardrobe
To talk to staff (i.e. seeking support)
As a space just to relax and be themselves
Submit
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