Big's Full Name                           *

Big's Email Address                           *

Little's Full Name            *

#1. On the average, how often do you meet with your Little? *

#2. What kinds of activities do you enjoy together? *
 

#3. Do you talk on the phone, email, or instant message? *

#4. Are you happy with the amount of contact you have together? Please explain why or why not.  *

#5. What is going well with the match? *

#6. What's best about being matched? *

#7. What good things do you see happening with your Little? *

#8. What difficulties or challenges have you experienced? *

#9. Is there anything we can provide for you for the above concern/s? Please explain. *

#10. Can we provide any information and/or resources to strengthen or support your match in anyway? Please explain. *
 

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