Street Care
1. When was your visit? *
2. Where was your visit? *
3. How many people did you help? *
4. Who did you help? *
5. What kind of help did you provide? Medical Help/DoctorSocial Worker/PsychiatristLawyer/LegalFoods & DrinksClothesHygiene ProductsWellness/Emotional SupportOther
6. Rate your outreach experience. ⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️
Optional:Would you like to answer more questions? It will help us better assist people in need. If yes click here.
7. Who requires further help? *
8. Can you describe the location or landmark of the person(s) in need of help? *
9. What time was the encounter?
10. What further help is needed? Medical Help/DoctorSocial Worker/PsychiatristLawyer/LegalFood & DrinksClothesHygiene ProductsWellness/Emotional SupportOther
11. When is the follow-up needed?
12. Is there anything else other volunteers should know?
13. Choose which information to share with the community to improve assistance * Location Where Help Provided
In case of a serious situation, dial 911 immediately.
