Setup Worksheet

The following information will be needed to setup a new CareCalendar. Please take the time to gather this information before continuing with the setup process.

This page can be printed to help you gather the necessary information. When you are ready to continue, you can enter the information starting on the next page.

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COORDINATOR

• Name: _________________________________
• Email: _________________________________
• Phone: _________________________________

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RECIPIENT

• Name: _________________________________
• Street: _________________________________
• City, State, Zip: __________________________
• Email: _________________________________
• Phone: _________________________________

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CARE DATES

• Start date: ___/___/_____
• Estimated End date: ___/___/_____

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NEEDS
Determine the type of help that is needed and provide general details about those needs. Use the following as a guide:

Childcare

Number of children :

Ages :

Allergies :

Special needs :

Preferred care location :

Other pertinent information about the child(ren) :

________________________________________________________
________________________________________________________
________________________________________________________

Errand

________________________________________________________
________________________________________________________
________________________________________________________

Housework

Type of housework needed :

Chemical sensitivities :

Cleaning supplies and equipment provided : Yes/No
________________________________________________________
________________________________________________________
________________________________________________________

Meal

Usual meal time :

Number of people eating :

Food sensitivities :

Diet restrictions :

Specific Dislikes :

Favorite Foods :

Favorite Restaurants :

Microwave available? : Yes/No

Freezer space available? : Yes/No
________________________________________________________
________________________________________________________
________________________________________________________

Pet care

About the pets :

Care needed :

Special needs :
________________________________________________________
________________________________________________________
________________________________________________________

Ride

________________________________________________________
________________________________________________________
________________________________________________________

Visit

Visiting hours :
________________________________________________________
________________________________________________________
________________________________________________________

Yardwork

Equipment provided? : Yes/No
________________________________________________________
________________________________________________________
________________________________________________________

Will any of the above need types be 'restricted' to certain helpers only?
If so, gather a list of names and email addresses for 'personal helper' access.

After you have gathered the information on this worksheet, return to https://www.carecalendar.org and continue with setting up a new calendar.



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