Assessment of the needs. The Ukrainian green movement - individuals and families
The purpose of this questionnaire is to make an initial assessment of the situation that green movement colleagues are facing in Ukraine due to the full-scale war. The initiative is powered by rapid response team of Greenpeace Central & Eastern Europe. Please share this form with everyone you might know within the Ukrainian green movement as we are searching for best possible and comprehensive options to respond to the Ukrainian movement needs.
 
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Email *
What is your name and what is your affiliation with the Ukrainian green movement (formal or informal groups, institutions)? *
Would you like to share with us your contact details (especially phone number!) and current location address? Please do so, only if you feel comfortable with it. We will use this information to get in touch with you if we can meet any of your needs. We ensure your data protection.
In which language(s) we can communicate with you? *
Required
Have you been considering leaving the place you stay because of War? If yes, what could the best option for you and your family?
If you would have to move from the place where you are due to the safety reasons or supply shortages, how would you do it? *
In case you would have to evacuate to other cities/countries would you do it alone, or you would do this together with your family members? If you would do this with your family, how big the group will be? What condition are this people in? Please be as specific as possible.
Is there anything that global green movement members can do for you and your families right now or at the time when you decide to leave your current location? *
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