Responders Take Action Your name or Responder ID*DateGender of the person you spoke withMaleFemaleOtherAge of the person you worked with (can be estimated)Under 1818 - 2425 - 3435 - 4950 - 6465 and overSubstance/s UsedAction Taken Harm Reduction Advice Self-Help Signposted On Referred On Something Else Other notes (optional) *Do not put any identifiable information on here about the person you spoke with* This iframe contains the logic required to handle Ajax powered Gravity Forms.
