One 2 One Project

MenCan: One-2-One Project

Many men struggle with a feeling lonely or isolated. However, it is often the case that men feel like they have nowhere to turn. The MenCan: One-2-One Project aims to give men in between the ages of 19 and 50 the opportunity to engage in conversation with the intention of decreasing their social isolation or loneliness. Developing a positive and trusting relationship with one of our trained One-2-One Community Volunteers can develop self-confidence, emotional growth, and resilience in men who feel lonely or isolated, and lead to a dramatic increase in quality of life and wellbeing.

To help us develop this project, and provide valuable support to those men in our community who feel isolated or alone, please turn the page and complete our questionnaire.

Thank you for your help

Question Title

* 1. How old are you?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 2. Do you feel that the pandemic has had an effect on your ability to make connections with others?

Yes

Further comments

Question Title

* 3. Do you feel that the pandemic has had an effect on your experience of loneliness?

	Often	Sometimes	Occasionally	Hardly ever	Never
How often do you feel lonely?	How often do you feel lonely? Often	How often do you feel lonely? Sometimes	How often do you feel lonely? Occasionally	How often do you feel lonely? Hardly ever	How often do you feel lonely? Never
How often do you feel that you lack companionship?	How often do you feel that you lack companionship? Often	How often do you feel that you lack companionship? Sometimes	How often do you feel that you lack companionship? Occasionally	How often do you feel that you lack companionship? Hardly ever	How often do you feel that you lack companionship? Never
How often do you feel left out?	How often do you feel left out? Often	How often do you feel left out? Sometimes	How often do you feel left out? Occasionally	How often do you feel left out? Hardly ever	How often do you feel left out? Never
How often do you feel isolated from others?	How often do you feel isolated from others? Often	How often do you feel isolated from others? Sometimes	How often do you feel isolated from others? Occasionally	How often do you feel isolated from others? Hardly ever	How often do you feel isolated from others? Never

Other (please specify)

Question Title

* 4. Do you feel that you would benefit from an occasional or regular chat with a trained One-2-One Community volunteer?

Yes

Further Comments

Question Title

* 5. If you are interested in the opportunity of becoming a trained one-2-one volunteer or mentor with the MenCan project, or supporting the project on a voluntary basis, please leave your details below:

Name

City/Town

Email Address

Phone Number