Family Self-Assessment

DOMESTIC VIOLENCE WARNING:

Please be aware your Internet activity can be tracked. If you are in an abusive relationship, use a computer at a local library, a friend’s house, or if possible at work. If you need help now, call 911.

ARCHES Family First Self-Assessment

ARCHES Family First Self-Assessment

Are you a parent fleeing a domestic violence situation with your minor?
Are there any minors living in the household? A minor is anyone under the age of 18.
Do any of the following describe your situation?

Household Information

Healthcare Information

Transportation Information

Household Income

General Information

Domestic Violence Information

Contact Information