St. Ann's Community - Resident of the Month - Retirement Homes, Transitional Care, Alzheimer's Disease Care, Rochester, NY

St. Ann's Community Resident of the Month

To help us recognize and celebrate your loved one's life accomplishments, the Social Work and Recreation Therapy Departments invite you to complete the Resident of the Month questionnaire below. When completed, these profiles are extremely creative portraits and life summaries of Residents who make up the heart of our Community. (Next time you're visiting, be sure to take a minute to look at the Residents of this Month on your loved one's floor!)

Monthly celebrations are held on each unit in St. Ann's Home and the Heritage to honor and recognize our special Residents. Please take a moment right now to complete the questionnaire and return it using the submit button at the bottom. Questions? Please contact Mollie Jones at 697-6513.

Resident Name:	Required
Room Number:

Childhood
Place of Birth:
Family (Parents names and occupation, siblings with names and birth order, any significant details that would define your family):
Schooling:
Favorite/Significant Childhood Memory:

Adulthood
Occupation:
Employer(s):
Marital Status:
Honeymoon and other travels:
Children's Names:
Grandchildren's Names:
Pets and Animals:
Interests, Hobbies or Past times:
Accomplishments:
Military Background/Experience:
Influential People:
Favorite Memory:
Favorite Song:
Favorite Book:
Favorite Movie:
Favorite Color:
Favorite Food:
Favorite Flower:
Favorite Advice to Others:

Person Submitting this Form
Name:	Required
Relationship to Resident:
Telephone Number:

Childhood

Adulthood

Person Submitting this Form