Grow Group Report Form

Please fill in one form for each GROW Group per month.


GROW Group Code:
Area Coordinator Code:
12. Month Group meetings held:
13. Year Group meetings held:
14a) Date of meeting – Week 1 (dd/mm/yy):

14b)Reason why meeting not held – Week 1:
15. Area Co-ordinator present? – Week 1:
16a) No. of 1st time attendees – Week 1:
16b) No. of others attending – Week 1:
17. New Blue Book recipients – Week 1:
14a) Date of meeting – Week 2 (dd/mm/yy):

14b)Reason why meeting not held – Week 2:
15. Area Co-ordinator present? – Week 2:
16a) No. of 1st time attendees – Week 2:
16b) No. of others attending – Week 2:
17. New Blue Book recipients – Week 2:
14a) Date of meeting – Week 3 (dd/mm/yy):

14b)Reason why meeting not held – Week 3:
15. Area Co-ordinator present? – Week 3:
16a) No. of 1st time attendees – Week 3:
16b) No. of others attending – Week 3:
17. New Blue Book recipients – Week 3:
14a) Date of meeting – Week 4 (dd/mm/yy):

14b)Reason why meeting not held – Week 4:
15. Area Co-ordinator present? – Week 4:
16a) No. of 1st time attendees – Week 4:
16b) No. of others attending – Week 4:
17. New Blue Book recipients – Week 4:
14a) Date of meeting – Week 5 (dd/mm/yy):

14b)Reason why meeting not held – Week 5:
15. Area Co-ordinator present? – Week 5:
16a) No. of 1st time attendees – Week 5:
16b) No. of others attending – Week 5:
17. New Blue Book recipients – Week 5:
18a) Average Weekly Number of Males:
18b) Average Weekly Number of Females:
18c)Average Weekly No. of Other (gender):
19a) Average Weekly No. aged 24 & under:
19b) Average Weekly No. aged 25-44:
19b) Average Weekly No. aged 45-64:
19b) Average Weekly No. aged 65+:
20. Area Co-Ordinator Comments:
21. Any Group events that took place:
22a) Group Information section correct?:
22b) If no, please specify change(s):