Reset | Request For Support

This form helps Social Daisies understand your circumstance a bit better and consider if I can safely support you.

If this feels overwhelming, you don’t have to complete it alone. I’m happy to talk it through and piece it together with you. Simply send your details via email to admin@socialdaisies.com.au and we can tee up a time to chat.

About you

First Name

Last Name

Pronouns

Suburb

Phone

Email

Preferred contact

Briefly, what's making the space difficult to manage right now.

What would make the biggest difference if we could help reset the space?

Other:

Please tick anything that may be present.

Ticking something does not mean you have done anything wrong. It simply helps us work out whether the space is safe for the current project. I hope, with growth, I can help more people so even if some of these apply to you, please submit your application and we can chat more!

Needles or other sharps

Serious or widespread mould

Sewage, human waste or significant biowaste

Major pest or insect infestation

Unsafe flooring, ceilings or structural damage

Aggressive or difficult-to-secure animals

Doorways/exits significantly blocked by clutter

Other (provide in "anything else..." question below)

None of the above

Anything else we should know?

Upload 3-6 photos of the areas you are asking for help with

The photos will not be shared with anyone or be used in the video. They are only to help me understand the size of the job and any safety issues. Because of this I have included a few tips for me to gain a clear and accurate idea of the space you need support in. - Use the doorway and if possible, the opposite end as reference points to take photos. - Make sure to Include the floor and ceiling to be able to understand relative size - Hold the camera exactly at eye level to capture POV when someone walks in