What would you like done with the information provided?
—SWAN keeps record of the information but does not share the information with anyoneSWAN shares the information with other women who have signed up for this alert
Who is the abuser?
—ClientStrangerLaw Enforcement (example: Police, Immigration, Municipal Bylaws Enforcement Officer, etc.)Other
When did it happen?
—My incallShared incallClient’s homeMassage ShopHotelOther
In which city?
Abuser’s Gender, Race, Age, Height, Looks, Tattoos, etc
Phone Number/ Email:
**We will not give out the full phone number or contact this person
If a vehicle was involved, vehicle type (e.g., sedan, truck), make (e.g. Ford,Audi), license plate, colour
Would you like support from SWAN in regard to this incident? (e.g., referral to a health provider, emotional support, legal information, reporting to police, etc.)
Is there anything else you would like to tell us?
If you do not want to report to the police, why?
—I feel I might get in trouble with the police now or in the futureI feel I might get in trouble with other government agencies now or in the futureI don’t want to make a big deal out of thisI don’t feel that it will helpI fear the abuser might return if I report it to the policeOther
SWAN Vancouver Society
1101 Seymour St.
Registered Charitable #: 85317 6295 RR0001
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