Thak you for your interest in So Cal Route 91 Heals.

This program is designed meet the long term needs of the Route 91 community throughout Southern California and offers no cost emotional wellness and support services to Route 91 survivors and family members, and the communities affected by the event.

Your feedback is critical.
Our goal is to offer support services that best meet your needs and schedule. Please take a few minutes to fill out the following survey. Your feedback will guide the planning of long term recovery services for the Route 91 community in your area.  

SoCal Route 91 Heals is the result of survivor feedback gathered after the shooting and focuses on long term recovery needs.
 
THANK YOU FOR YOUR INPUT!
Project Website:
GiveanHour.org/Route91

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* 1. I am a Route 91:

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* 2. What County do you live in?   (Please note:  While the majority of survivors live in Southern California,  we are aware some reside in other areas. Regardless of location, all are eligible for the recovery services offered)

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* 3. What is your ZIP code:

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* 4. Please share your interest level in the following opportunities:

  Very interested, will participate Somewhat interested, might participate Not really interested, probably won't participate Not at all interested, definitely won't participate
Local gatherings for Route 91 community members to come together (when it is safe to meet)
Participating in committee to plan local gatherings and memorial events
Access to an online library with resources about recovering from a mass traumatic event
Opportunities to learn about improving and maintaining my emotional wellbeing
Opportunities to learn how to be a peer supporter for others
Connecting with a peer for support and connection
Web based peer support groups
In person peer support groups (when it is safe to meet)

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* 5. If you are interested in web based or in person support groups, please share the days and times that would be best for you (check all that apply):

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* 6. Our goal is to build a collaborative network of survivors, family members, and service providers. If you know of agencies or individuals that are serving Route 91 survivors and family members, please let us know who they are so we can reach out to them: 

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* 7. We welcome and value your input in this planning process, is there anything else you would like to share with us as we plan long term recovery opportunities?

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* 8. If you have a special skill or talent and are interested in volunteering in this project, please let us know how you would like to serve:

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* 9. If you would like to receive occasional emails about events and no cost services available, please share your e-mail (we will only contact you with information about this project and will not share your contact information):

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* 10. If you would like OCCASIONAL texts or calls about services offered in your area, please share your cell phone number (we will only contact you with information about this project and will not share your contact information):

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* 11. Optional:  Please share your first name:

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* 12. Optional: Please share your last name:

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