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Trauma Debrief: Client information
Information required in order to find the best way to assist your employees.
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* Indicates required question
Email
*
Your email
Company name
*
Your answer
Company (branch) address
*
Your answer
Contact Person and phone number
*
Your answer
Date of occurrence
*
MM
/
DD
/
YYYY
Type of trauma
*
eg. accident, hijacking, armed robbery, assault, etc
Your answer
How many employees require debriefing?
*
Choose
one
two
three
four
five
six
seven
eight
nine
ten
more than 10
Names and job titles of persons requiring trauma debriefing.
*
Your answer
Venue?
*
due to covid-19 regulations we do not go out to clients premises
LifeLine Pretoria, Watermeyer Centre (up to 15 persons)
Online on Zoom
Required
Thank you for your interest in LifeLine Pretoria services.
A quote will be sent on receipt of the details within 24 working hours. Stay safe and take care.
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