FSMN Community Care
Dear FSMN Families and Staff,

If you are experiencing a need, PIC would like help!

If you are comfortable naming yourself, you can skip this survey and just complete this Google Sheet directly: https://docs.google.com/spreadsheets/d/1jbxp0RBq9pcfZYS1v3yjkBW0i1jrPSZ8y4I2zQ3Ac8U/edit?usp=sharing

If, however, you would prefer that your request remain confidential (i.e., only the PIC representative knows your identity), complete the form below, and a member of PIC will facilitate reaching out to the FSMN community to support you.

Take care,
PIC
What is your name?
Your answer
What is/are the best way(s) to contact you (e.g., email, text, phone call)? Please provide this contact information below:
Your answer
How can the FSMN community help? Please provide all relevant details (e.g., if you need groceries, is it a financial need or are you quarantined and cannot physically go to the market? if you need something delivered, what is the address? etc.)
Your answer
Is there anything else you'd like us to know?
Your answer
Take care!!
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