OCB Therapy Survey
AKA The Situation Report (SITREP). Vets Restoring Vets. This form is recording garage time and therapy sessions of Veterans participating in any of our programs when you visit one of our locations. Indiana, Alabama, and / or California.
Veterans:
Please fill this out at the end of each visit to an OCB facility or event. This is also tracking your shop hours. If you would like your hours to count toward more benefits in our program please remember to fill out this form.
Name
*
First Name
Last Name
Last 4
*
Last 4 numbers of your SSN
Location visited?
*
What program did you participate in?
*
Sunday Shop Day
Lima Charlie - Veteran Peer Support Group
F.A.T. Program
Personal Project
Volunteering
Date of participation:
Time IN & OUT
*
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
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17
18
19
20
21
22
23
:
Hour
00
30
Minutes
Until
until
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
:
Hour
00
30
Minutes
-"BEFORE" your session how did you feel?
-"AFTER" your session how did you feel?
What impact did you make on yourself or others?
*
Please give us your feedback
Submit
Should be Empty: