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Crisis Response SelfQuestionnaire 7901 Raytheon Road San Diego, CA 921111606 www.camft.org 8582922638Please answer the following questions to determine your readiness, at this time, to respond to
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How to fill out crisis response self-questionnaire

01
Start by reviewing the crisis response self-questionnaire form to familiarize yourself with the questions and sections.
02
Begin filling out the form by providing your personal information such as name, contact details, and any relevant identification numbers.
03
Move on to the section that requires you to describe the crisis or emergency situation. Be clear and concise in your explanation to ensure the questionnaire captures all the necessary information.
04
Proceed to answer the specific questions related to the crisis, such as the date and time it occurred, any individuals involved, and any actions taken so far.
05
The questionnaire may include sections that inquire about your emotional well-being and mental health status in relation to the crisis. Answer these questions honestly and to the best of your knowledge.
06
Review your responses before submitting the questionnaire. Make sure all the required fields are completed accurately to provide an comprehensive understanding of the situation.
07
Sign and date the questionnaire to attest to the accuracy of your responses.
08
Submit the filled-out crisis response self-questionnaire to the designated recipient or organization as instructed.
09
Keep a copy of the completed questionnaire for your records in case it is needed for future reference or follow-up.

Who needs crisis response self-questionnaire?

01
Individuals who experience or witness a crisis or emergency situation can benefit from completing a crisis response self-questionnaire. This can include victims of accidents, natural disasters, violence, or individuals involved in traumatic events. The questionnaire allows them to document the details of the situation, their emotional well-being, and any actions taken. It can serve as a tool for self-reflection, communication with authorities or organizations, or as a reference for future assistance or legal proceedings.
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