hubs/resources available

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Are you in the Bay Area and have resources you can share with disabled people and elders in a power outage, as early as 10/26? Please complete this form. The previous mutual aid spreadsheet made contact info too public so we are using this private form. You can also call us at 910-722-9552 and leave a detailed message. We also have a form where people can share if they need support. We will post ongoing updates at facebook.com/disabilityjusticecultureclub
- Stacey and Carrie

Name *

Phone number *

Preferred method of contact *

Phone

Other:

Address

Neighborhood

City

Accessibility of space

Wheelchair accessible entrance/exit, space inside

Wheelchair accessible bathroom

Fragrance free

Low fragrance

Sober/no substance use in space

Service dog welcome

Cats

Minimal steps

Accessible to fat people (sturdy chairs without arms, no tiny bathrooms etc.)

Low stimulation space (low light, low noise, etc.)

Near BART

Accessible by bus

Other:

Resources can provide if power off

Electricity - continous to power ventilator, bipap, etc

Electricity - daily to charge cpap, wheelchair, other medical or mobility devices

Electricity - occasionally (less than daily) to charge medical or mobility devices

Refrigerator space for medications

air conditioning

Rides - wheelchair accessible vehicle

Rides - vehicle not wheelchair accessible

Other:

How many people would you feel comfortable hosting in your space at a time?

4-5

6-8

9 or more

Other:

Clear selection

Resources

Gas generator

Propane generator

Back up battery/inverter

Solar panels

Land line

Power banks (to charge phones etc.)

HEPA air purifier

DIY air purifier

HAM radio equipment/trained

Other:

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