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Houma Christian Needs Assessment
Please fill out this form to help us understand the current situation of your family. This form may be completed on behalf of another Warrior family with their consent.
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Student Names/grades *
Phone number
Alternate phone number
Is your home inhabitable? *
Are you currently displaced from your home? *
If so, how long do you anticipate being out of your home?
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Has restoration/mold mitigation begun on your house already?
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If your home must be "gutted out", what percentage do you estimate it to be?
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What percentage of your household belongings do you estimate to have lost?
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What are any immediate needs your family may have regarding Hurricane Ida?
Do you feel your student has suffered stress or trauma from Hurricane Ida and needs to utilize HCS counseling services?
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If yes, describe what circumstance surrounds the need for counseling services?
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