COOH SUPPORT PLAN - NEEDS ASSESSMENT
Please complete to the best of your ability in as much detail as you can so we can support you best

Open House is our drop in service for families to have access to essentials like food, toiletries, clothes and advice from local practitioners and businesses and services in the community and fun activities for kids at Come Out Of Hiding The Lighthouse Network CIC.

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Email *
Name *
Age *
Gender *
Ethnicity *
Phone Number *
Local Borough *
Any Dependents (If yes, how many, how old and gender)
What are your dreams and future aspirations? *
What is getting in the way of these dreams and future aspirations becoming a reality? *
What areas do you need support in? *
Required
What is your current situation? (based on support selected above) *
What are your desired outcomes?  (based on support selected above) *
How would you like us to best support you?  (based on support selected above) *
Your information is safe with us
If you have any questions or would like to know more details please contact our Community Matters Team on admin@cooh.co.uk or 07494632390.

Your information Is Safe With Us

We are an official organisation registered with the ICO and we comply fully with the DBS Code of practice regarding the correct handling of your data. The details you provide will be collected as data that is organised in our secure cloud which can only be accessed by the coordinators’ approved email addresses. We will do everything we can to keep your data safe and available only to those who provide services that you approve could be beneficial to you.

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