Resilient communities volunteer questionnaire - Clovenfords and District
Your contact details
Name *
Your answer
Address *
Your answer
Email
Your answer
Landline
Your answer
Mobile
Your answer
How can you help?
Yes
No
Snow clearing and salting
Putting out bins/sandbags
Preparing catering and hot drinks
Provide transport (4x4) for urgent trips during severe weather
Check on neighbours during severe weather and utility failures
Watch neighbours’ property when they are away
Help neighbours who are locked out or have utility failures
Yes
No
Have you received basic first aid training?
Are you willing to co-ordinate resilience activities in your area?
If you have any specific skills we can call upon please list them here:
Your answer
When will you be available for resilience duties (e.g. day and night)?
Your answer
Thank you for your support. If you have any other comments or suggestions please write them below.
Your answer
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