Safety Planning Guide

Staying Safe on Campus or a t Work
Th e safest wa y for me to get to class/w ork i s:
_______________________________________________________
_______________________________________________________
These are c ampus/work places where I often r un into my
abuse r: _______________________________________________.
I will try and avoid those places as much as possible or
try to go when s/he won’t be there.
There may be plac e s wher e it is imposs ible to av oid my
abuser. If I need to go to one of th os e places I can make
sure a friend c an go with me. I will ask__________________
or _____________________________________
I c an as k ______________________ to help scr een my c all s.
If I feel threatened or unsafe, I c an go to these public
areas where I feel safe (VI P, cafeteria, the Stu d ent
Center, etc. ):
_______________________________________________________
and/or________________________________________________.
If a problem arises on my way home from work I ca n:
_______________________________________________________
I could talk to the
followin g pe o ple if I
need to rearrange my
schedule in or der to
avo i d my abu ser; or if I
need help stay ing safe
on campus or at wor k :
Supervisors:____________
_______________________
_______________________
Campus police
Work place Secur ity
VIP
Counselor
Other:_________________
_______________________
Staying Safe in My Home
I can tell these people (roommates, neighbors, friends) about what is going on :
__________________________________ and ________________________________________.
There will be times when I am home alone. If I feel unsafe during those times, I can
hav e peo ple stay with me. I will ask:____________________________________________,
________________________________ or ____________________________________________.
The safest way for me to leave my ho me in an emergency is : ____________________
_______________________________________________________________________________.
If I have to leave home in an emergency, I shoul d try to go to a place that is
public, safe and unknown by my abuser. I could go here:
___________________________________ or __________________________________________
I will use a c ode wor d so I can alert my family, friends, roommates and/or
neighbors to call for help without my abuser knowing about it. My
code w ord is: _________________________________________________________________.
I w ill keep a spare set of keys here : _____________________________________________.
Page 3/6
Free Download

Safety Planning Guide PDF

Favor this template? Just fancy it by voting!
  •  
  •  
  •  
  •  
  •  
(0 Votes)
0.0
Related Forms
  •  
  •  
  •  
  •  
  •  
26 Page(s) | 5243 Views | 5 Downloads
  •  
  •  
  •  
  •  
  •  
12 Page(s) | 2984 Views | 21 Downloads
  •  
  •  
  •  
  •  
  •  
10 Page(s) | 2507 Views | 12 Downloads
  •  
  •  
  •  
  •  
  •  
5 Page(s) | 2034 Views | 9 Downloads
  •  
  •  
  •  
  •  
  •  
20 Page(s) | 3298 Views | 9 Downloads