Vulnerable Person Form | Grove Partners, Block Management, Estate Management

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Contact

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Vulnerable Persons Questionnaire

First Name*

Last name*

Your email*

Customer reference number

Name of the development we manage

Apartment / House number*

First line of address*

Postcode*

Which floor are you on?*

Are there any other parts of the building you routinely access or spend time in outside of your property?*

Are you aware of and understand the emergency evacuation procedures that operate within the building?*

Yes

Do you require written emergency evacuation procedures?*

Yes

Are the signs marking emergency escape routes and exits clear and easy to follow?*

Yes

Do you have significant difficulty with hearing?*

Yes

Would you require assistance to evacuate your flat or the building in an emergency?*

Yes

Is there a nominated person responsible for assisting you in the event of an emergency evacuation? If yes, please provide their name(s), relationship to you, and where they are normally located.*

Is the arrangement with your assistant(s) formally agreed and established in advance? (For example, a named carer, partner, or support worker who has agreed to assist you.)*

Yes

Do you have reliable and immediate means of contacting your designated assistant(s) in an emergency? If required, would you be able to communicate your location to the person(s) responsible for coordinating your evacuation from the building?*

Yes

Do you experience any mental health concern which may be adversely affected in an emergency such as epilepsy?*

Would you have difficulty moving quickly in the event of an emergency?*

Yes

Are you a wheelchair user?*

Yes

Do you have difficulty using stairs in your building?*

Yes

Do you experience any difficulties with vision that could impact your ability to navigate escape routes or exit the building safely in an emergency?*

Yes

By completing this questionnaire, I consent to Grove Partners Limited holding the information I have provided for the sole purpose of supporting emergency evacuation procedures. I also consent to this information being shared with the relevant emergency services and authorities as necessary to ensure my safe evacuation in an emergency.

Company Number

16886569

Contacts

01223 90 10 45
office@grovepartners.co.uk

Hours of business

Monday - Friday (not public holidays)
8:30am - 5pm