Safeguarding

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Safeguarding

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Nature of the Concern

*Q2. Date the activity actually happened

*Q3. Location

Q4. What is your concern? Please describe in detail. (Text)

Q5. Was anyone else present or involved? If so, who? (Text)

Q6. How did you become aware of this concern? (Text)

Immediate Actions Taken

Q8. Did you take any action? (e.g., spoke to individual, contacted emergency services) (Text)

Q9. Was the individual in immediate danger when you became aware of the situation? (single choice)

Question Settings ▼ ▲
Yes No I'm unsure

Dropdown List used: Was the individual in immediate danger when you became aware of the situation?

Communication

Q11. If the person disclose the concern to you directly, what did they say? (Use their own words as much as possible) (Text)

Q12. Have you already informed anyone else about this concern? (single choice)

Question Settings ▼ ▲
Yes No

Dropdown List used: Have you already informed anyone else about this concern?

Q13. If you have informed someone else, who was it? (Text)

Q14. If you have already informed someone else, when did you inform them? (Date)

Q15. How urgent is this concern? (single choice)

Question Settings ▼ ▲
Low Medium High Immediate Risk

Dropdown List used: How urgent is this concern?

Q16. Attach any relevant documents, screenshots, or evidence (if applicable). (File)

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