GBV Online Intake Form

Filipino

The Women’s Legal and Human Rights Bureau is a feminist legal non-government organization working towards improving marginalized women and girls’ access to justice by providing online paralegal services, among others. By accessing our online paralegal service, you consent to divulging information relevant to your situation, concern, or query. This also means that you consent to WLB’s collection of your pertinent data, such as but not limited to your personal information and narration of your situation. We will collect these data through third party applications (i.e. FB messenger and JotForm) and thru our continued engagement with you outside the aforementioned platforms (i.e. through texts, emails, calls – whichever may be applicable). We will only collect your personal information that will help us give you timely, effective, and proper response. These information will be kept strictly confidential – only WLB and no other third parties will have access to them. Your information will be part of our consolidated data that will be used and processed for purposes of data analysis. Any individual identifiable data will not be published and used without your full and informed consent. WLB’s analysis of your information will be used to improve its ongoing researches and policy advocacies.

This section is your safe space, where you can share more details about your experience. All information shared to us will be kept strictly confidential.


TW: This section contains questions that will ask you to recall the incident, which may trigger negative emotions/re-surface trauma. If this happens, you may continue answering at your own pace. You may also directly message us at our FB page about this so we may refer you for counselling.

Thank you for sharing. In this section, we will ask for some personal information so we can assist you better. 

All information will be kept strictly confidential and will not be shared without your explicit and unequivocal consent. 

How can we reach you?
Kindly put your working contact number, email address, or social media account (or all of them) so we can reach you after we process your intake form.

You have reached the end of the intake form. Thank you for your patience. Click "submit" so we can record and process your concern(s).