Hot Rod Therapy Survey
AKA The Situation Report (SITREP) / Hot Rod Therapy Survey. Vets Restoring Vets. This form is recording garage time and therapy sessions of Veterans participating in our program when you visit one of our locations. Indiana, Alabama, and California.
Veterans:
Please fill this out at the end of each visit to the OCB shop. 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
Suffix
Last 4
*
Last 4 numbers of your SSN
Chapter Location?
*
Day of the week
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Date of visit:
Time IN & OUT
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
30
Minutes
AM
PM
AM/PM Option
Until
until
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
30
Minutes
AM
PM
AM/PM Option
-"BEFORE Shop Day"-
*
-"AFTER Shop Day"-
*
Please let us know what you did here at OCB during your Shop Day visit. "Your observation". We would really appreciate your comments and also your suggestions. We are always trying to improve our program
*
Please give us your feedback
Submit
Should be Empty: