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Develop a safety plan
Please answer the following questions to the best of your ability. Completing this will generate your personal safety plan, which will be securely emailed to you. Make sure you complete this plan from a trusted computer in a safe location.
Secure email address. Ensure you're using a trusted email account, the results of your safety plan will be sent there.
*
Email
Confirm Email
Section 1: Planning
1. Have you told anyone in your family or close friend group about the abuse?
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Yes
No
2. What word or phrase can you use as a code in a phone call, text, or instant message to ask your family, friends, or neighbors to call for help without your partner knowing?
3. Who can stay with you if you don’t want to be alone?
4. Where can you go to feel safe?
5. If you need to leave your home in an emergency, where are some places you can go to feel safe? This can be a trusted friend or family member’s house, a public place, a police station, or any place likely to have people around where you’ll feel safe.
6. Where can you safely keep money or resources that it won’t be discovered by your partner?
7. If your copy of the protection / restraining order gets lost or destroyed, which courthouse can you go to in order to get a new copy?
8. If you need to leave your home quickly, what should you bring with you?
Identification (e.g., driver's license, school ID, military ID, social security cards, immigration documents)
School records
Medical records
Cell phone (if you’ve taken steps to make sure your phone isn’t being tracked)
Phone charger
Laptop and charger
Laptop and charger
Medication
Cash
Bank or credit card (note: bank or credit card transactions may reveal your location if the abuser has access to records)
House key
Car key
Change of clothes for one or more days
Comfort items or totems
Baby supplies
Copy of protection / restraining order
Child’s birth certificate
Medical insurance card
Other
Select all that apply or add your own items below
8.1 Additional items
List additional items, one per line
Can you keep those items somewhere safe without the abuser realizing they're set aside?
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Yes
No
Not sure
Section 2: At School (skip if not applicable to you)
1. If you need to avoid seeing your partner on your way to or from class, what other routes can you take?
2. Have you told anyone at school about your relationship?
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Yes
No
3. Who can you spend time with between classes that makes you feel safe?
4. If you need to leave school immediately, who can come pick you up?
Consider having this person’s contact information with you at all times so you can reach them even if your cell phone is unavailable.
5. What are the security and safety resources available through your school?
For example, where are the public safety offices? Where are the emergency callboxes?
6. Have you informed your school of any protection or restraining orders in place?
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Yes
No
Section 3: At Work (skip if not applicable to you)
1. If you need to avoid seeing/encountering your partner on the way to work, what are some alternate routes you can take?
2. Does anyone at work know about your relationship and concerns?
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Yes
No
3. If you need to leave work immediately, who can come pick you up?
Consider having this person’s contact information with you at all times so you can reach them even if your cell phone is unavailable
4. What security and safety resources are available through your workplace? For example, is there a security guard? Are there safe places?
5. Have you alerted security or coworkers to your concerns, and will they notify you if your abuser approaches the workplace?
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Yes
No
6. Have you informed your workplace of any protection or restraining orders in place?
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Yes
No
Section 4: Technology
1. Does your abuser have access to your cell phone records, such as calls made and location?
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Yes
No
2. Are you able to restrict their access to your cell phone account when needed?
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Yes
No
3. Do you have access to email or social media accounts that they don’t have the password or login information for?
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Yes
No
4. Where can you find a safe and trusted phone and computer that you can use for private conversations?
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Yes
No
This may include your own devices, depending on your specific situation.
5. Might your partner impersonate you online to try to embarrass or get information about you? If so, what steps can you take to counter this?
Not a concern
Change account passwords to prevent login
Add two-factor authentication to prevent login
Create and secure social media accounts to avoid impersonation
Inform friends and family members to be on guard for messages that aren’t actually from you
Other
Select all that apply or add your own items below
5.1 List additional items, one per line
List additional items, one per line
Section 5: Relationship
1. Who can you call, text, or email to let them know where you’re going with your partner if you’re concerned about your safety?
2. If you were stranded or needed a ride home, who can you call to pick you up and take you to a safe place?
Make sure to keep this person’s or these people’s contact information available in case your cell phone is lost, stolen, or out of battery.
3. What word or phrase can you use as a code in a phone call, text, or IM to ask your family or friends to call for help without your partner knowing?
Choose a word or phrase that you won’t use accidentally but won’t sound or appear suspicious.
4. If you decide to end the relationship, where is a public, safe place that you can do it?
5. Who can support you afterward?
Section 6: Relationship
1. Who can watch your children in an emergency?
2. Do your children know HOW to call 911?
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Yes
No
3. Do your children know WHEN to call 911?
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Yes
No
4. What word or phrase can you use as a code between you and your children to let them know to get to safety and call for help?
5. Where is a safe place for your children to go if in danger?
This should be a place they can go safely by themselves, and may be a room in the home, a neighbor’s, a public places, a police station, etc.
Section 7: Recovery
1. If you are thinking about going back to an abusive relationship, who can you talk to about alternatives?
2. Before making a decision about returning to an abusive relationship, what are some things you want to remind your future self?
3. Who can you call to get the support you need?
4. What do you want your future self to remember?
Create My Plan
