Trauma Response & Crisis Care (TRACC) for Movements Survey

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ABOUT TRACC4Movements: TRACC (Trauma Response & Crisis Care) For Movements is a national organization responding to trauma crisis, providing community care, triage trauma and crisis response, & healing provider training and education to support activists and social movements. More information can be found at www.tracc4movements.com. Email questions to tracc4movements@gmail.com.

ABOUT THE SURVEY: As TRACC builds and visions for a future of collaborative partnership - with individual care providers, social movement and healing organizations, organizers/activists and communities we want to build that vision as a collective one. We want to build connection to practitioners who are already doing movement-based trauma work and those who want to but are seeking further education. We want to connect with potential integrative care team members who might be interested in serving on a movement-based trauma response crisis care team - nationally and/or regionally in your context. We want to connect with organizations (healing and activist) who might want to be in dialogue with this work and/or be partners in it - as so many folks are already doing work that intersects and overlaps with the specific mission of TRACC4movements. We want to learn from the wider communities what your needs, hopes, wishes and ideas are. This survey is the beginning of that conversation.

AFTER THE SURVEY: We will be in touch with everyone who fills out this survey in some form or fashion after you complete the survey. We hope to be in conversation with folks who see their work and life aligned with the vision and mission of TRACC4movements.

Name: *

Location (city, state, country): *

Organization: *

Organizational Affiliation Description and/or Job Description *

Your professional role related to healing & movements (check all the apply): *

Activist

Community Organizer

Activist/Organizing Nonprofit Representative

Healing Care Provider: Mental Health (LCSW/MSW, LCPC, MFT, PsyD, PhD, etc)

Healing Care Provider: Medical Health (Nurse/Nurse Practioner, MD, etc)

Healing Care Provider: Alternative Health (acupuncture, massage, yoga, reiki, etc)

Spiritual Care Provider: Non-Western (ancestral practitioner: ex: bruja, yoruba, etc.)

Spiritual Care Provider: Western (chaplain, spiritual director, pastor)

Academic Professional

Legal Professional

Other:

Required

What is your work and passion related to movements and healing care in your own words (however and whatever you might want to share)? *

Are you LGBTQIA-inclusive in your care and/or organizing? *

Yes

No (understand a no means you cannot engage participation in this project)

Do you have training & education in any of the following: *

Activism, Social Movements & Organizing

Trauma, PTSD and Trauma-Conscious Care

Movement Trauma & Movement Trauma Care/Movement Crisis Response

None of these above.

Other:

Required

Would you be interested in being involved in TRACC4Movements Education in any of the following ways (check all that apply): *

Providing Community-Based Education on Trauma in Movements

Providing Healing Provider-Oriented Education & Training on Trauma Response for Movements

Providing Intensive TRACC Team Crisis Response for Movements Team Training

Providing Activist/Community Organizing Education on Trauma in Movements

Receiving Community-Based Education on Trauma in Movements

Receiving Healing Provider-Oriented Education & Training on Trauma Response for Movements

Receiving Intensive TRACC Team Crisis Response for Movements Team Training

Receiving Activist/Community Organizing Education on Trauma in Movements

None of these above.

Other:

Required

Would you be interested in being involved in TRACC4Movements Mobilization and Trauma Support Care in any of the following ways (check all that apply - for care providers): *

I would like to be part of a mobilization team for crisis response for movement trauma.

I would like to provide community-based support and healing care for activists and movements in my local context.

I would like to provide individual care - virtually or in-person - for small groups of organizers based out of my local healing practice context.

I would like to provide individual care - virtually or in-person - for individual organizers based out of my local healing practice context.

None of these above.

Other:

Required

I have experience providing the following (check all that apply): *

Providing healing care during direct actions/protests.

Providing crisis care for trauma during direct actions/protests.

Providing education to activist and organizing communities regarding trauma/trauma in movements.

Providing education to healing care providers, mental health and medical professionals, and/or spiritual care providers regarding trauma and movements.

Providing aftercare for activists/community organizers following direct action or generally in my healing practice.

None of these above.

Other:

Required

I would like to engage in future conversations regarding TRACC4Movements as an individual healing care provider?

Yes

Other:

Clear selection

I would like to engage in future conversations regarding TRACC4Movements as a representative of a possible partnering organization?

Yes

Other:

Clear selection

Do you want to be added to TRACC's Newsletter/Email List for future updates on this project? *

Yes

Any additional thoughts, reflections or elements we didn't touch on that you would like to let us know?

Submit

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