Fillable Printable Safety Planning Guide
Fillable Printable Safety Planning Guide
 
                        Safety Planning Guide
A GUIDE TO 
SAFETY PLANNING 
WHY DO I NEED A SAFETY PLAN? 
Everyone deserves relationships that are healthy, safe and supportive. If you are 
in a relationship that is hurting you, it is important for you to know that the abuse 
is not your fa ult. It is also important for yo u to start thinking o f w ays to keep 
yourself safe from the abuse, whether you decide to end the relationship or not. 
While you can’t control the other person’s abusive behavior, you can take 
action to keep yourself as safe as possi ble. 
WHAT IS  A  S AFETY  PLAN? 
A safety pl an is a practical guide that helps l ower your risk of being hurt by your 
abuser. It includes information specific to  yo u and your  life tha t will help keep  
you safe.  A good safety plan helps you think through lifestyle changes that wi ll 
hel p keep you as safe as possible on campus, at work, at home and other 
place s that  you go on a daily basis. 
HOW DO I M AKE A SAFETY PLAN? 
Take some time for yourself to go through each section of this safety pl an. You 
can complete this on your own, or you can work through it with someone else 
that yo u trust. 
KEEP IN MIND: 
• In order for this safety pl an to work for you, you’ll need to fill in personalized 
answers, so you can use the information when you most need it. 
• Once you complete your safety plan, be sure to keep it in an accessible but 
secure location. You might also consider giving a copy of your safety plan to 
so meone t hat you t rust . 
• Getting support from someone who has experience working those in abusive 
relationships can be very useful.  
VIP Center sta ff   are also available to work th rough thi s safety plan with 
you, answer quest ions and help find addi tional resources you may need. 
Adapted from NCDSV.org, U K Vi ol ence Interventi on and Prevention Center, Rev. 9.19.11 
Answering the following questions will help create your own safety plan:  
1.  What situation s are yo u most afraid of ?  
2.  What kinds of things have you thought of that may help you with these things 
you fear the most?  
3.  What kinds of things have you tried to prote ct yourself  in the past? Which of 
these things have worked and which would you use again?  
4.  What types of arrangements can you make to improve your safety at work or 
school? (change your routes, screen your calls, change arrival and departure 
times, safety while traveling, etc.) 
5.  What kinds of these can you do to improve  your safety in your home? 
(change l ocks, buy safety devices, inform neighbors and l andlord to call the 
police if they hear a disturbance, purchase a cell phone, etc.) 
6. Does the abuser have access to your phone, address , email or other ways to 
contact you?  Can/should these be changed? 
7.  Are there other people or pets whose safety you are also concerned about 
as a result of this situation? (roommate, dating partner, coworker, etc.) 
8.  What kinds of legal  resources in your community are available to you?  

Staying Safe on Campus or  a t Work 
Th e safest wa y for me to get to  class/w ork  i s: 
_______________________________________________________
_______________________________________________________ 
These are c ampus/work places where I often r un into my 
abuse r:  _______________________________________________. 
I will try  and avoid those places as much as possible or 
try  to go when s/he won’t be there. 
There may be plac e s wher e it is  imposs ible  to av oid my 
abuser. If I need to go to one of th os e places I can make  
sure a friend  c an go with me. I will ask__________________ 
or _____________________________________ 
I  c an as k ______________________ to help scr een my  c all s. 
If I feel  threatened  or unsafe, I c an go to these public 
areas where I feel safe (VI P, cafeteria, the Stu d ent 
Center, etc. ):  
_______________________________________________________ 
and/or________________________________________________. 
If a problem arises on my way  home from work I ca n:  
_______________________________________________________ 
I could talk  to the       
followin g pe o ple if I 
need to rearrange my 
schedule in or der to 
avo i d my abu ser; or if I 
need help stay ing safe 
on campus or  at wor k : 
Supervisors:____________     
_______________________
_______________________ 
Campus police 
Work place Secur ity 
VIP 
Counselor 
Other:_________________ 
_______________________ 
Staying Safe in My Home 
I can tell these people (roommates, neighbors, friends) about what is going on  : 
__________________________________ and ________________________________________. 
There will be times when I  am home alone. If I  feel unsafe during those times, I can 
hav e peo ple stay  with me. I will ask:____________________________________________, 
________________________________ or ____________________________________________. 
The safest way for me to leave my ho me in  an emergency is : ____________________ 
_______________________________________________________________________________. 
If I have to leave home in an emergency, I  shoul d try to go to a place that is    
public, safe and unknown by my abuser. I could go here: 
___________________________________ or __________________________________________
I will use a c ode  wor d  so I can alert my family, friends, roommates and/or 
neighbors to call for help without my abuser knowing about it. My 
code w ord is: _________________________________________________________________. 
I w ill keep a spare set of  keys here : _____________________________________________. 

Staying Safe Em otionally: 
My abuser o fte n  makes me feel bad by sayi ng 
this:_________________________________________________ 
____________________________________________________. 
Whe n he/s he does this, I will think of the se  re asons why 
I kn ow my abuse r is wr on g: 
____________________________________________________, 
____________________________________________________ 
and________________________________________________. 
I will do thin g s  I e njoy, lik e: 
____________________________,________________________
___________________ and ____________________________. 
I will j oin clubs or o rgan iza ti ons tha t intere st me , 
l ike: ______________________________________________ or 
____________________________________________________. 
If I f eel dow n an d rea dy to  re turn to  a  p o ten ti ally 
abusi ve situ ati o n , I can 
__________________________________ 
____________________________________________________. 
I can read ____________ ___________ ___________________ 
to help me  feel s trong e r and more supported. 
If I feel confused,    
depre ssed or scared,     
I  ca n call the  following 
friend s o r family        
members: 
Name: ________________ 
Phone #: ______________ 
Name: ________________ 
Phone #: ______________ 
Name: ________________ 
Phone #: ______________ 
Name: ________________ 
Phone #: ______________ 
Getting Help in the Community: 
For emerg enci es cal l 911 and give your loca tion 
Campus police st at ion: 2 57-SAFE 
Location: Corner of Rose St. and Euclid Ave. 
Violence Intervention and Prevention Ctr. 
Location: Lower level, Frazee Hall 
Phone: 257-3574 
Othe r: _____________________________________ 
Phone  #: ___________________________________ 
Locatio n: ___________________________________ 
Othe r: ______________________________________
Phone  #: ___________________________________ 
Locatio n: _______________________________ ____ 
For immediate sup p ort, I ca n 
call the following friends or 
family membe rs at any  time  
of day or  night:  
Name: _____________________ 
Phone: _____________________
Name: _____________________ 
Phone: _____________________
Hotlines that can help: 
____________________________
____________________________
____________________________ 
We bsites with helpful and 
suppo rtive i n fo rmation: 
____________________________
____________________________
____________________________ 

These are things I c an do to help keep  myself safe everyday: 
• carry my  c ell phone and  important telephone number s  with me at all times. 
• keep in touch with someone I  trust about where I am or  wh at I am doing . 
• sta y o ut of isolated  places . 
• alert wo rk or campus security ab out w ha t is ha p p ening so tha t my abus er is not allo w ed 
in my bui lding. 
• avoi d places w h ere my abuser o r his/h er friends  and  family ar e lik ely to be . 
• keep the d oors and win dows loc ked  where I live , es pe c i ally if I am alone. 
• will avoid speaking to my abus er. If it is unavoid able, I  will make sure there are people 
around in c ase the situation becomes dangerous. 
• call 911 if I feel m y safety i s at r i sk . 
• rememb er tha t the abuse is not my  fault and that I des erv e a safe and healthy life. 
These are things I c an do to help keep  myself safe in my social life: 
• ask my  friend s  to kee p the ir c ell phones  with them while  they are with me  in case we g et 
s e p arate d an d I need help. 
• I f possible, go to d ifferent mall s, bars, banks, parties, grocery  stores, movie theaters, 
r estaur a nts, e tc. tha n the ones my a bus er g o es to  or k no ws a b out. 
• no matte r w h ere I go , I will be aware o f h o w to  leave safely in  case  o f an  emer g en cy. 
• leave if I feel  u ncomfortabl e  in  a si tuation, no matter what my fr ie n ds ar e  doing . 
• If I plan on  drin ki ng , I  will  be sur e  to have a sobe r  fr ie n d to hel p in  a volatile  s ituation. 
• spend time with people who make me feel safe, supported and good about myself. 
These are things I c an do to stay safe online and  with my cell phone: 
• keep my cell phone charged and program in important number s . 
• I will  not say or d o anything online that I  would n’t in pe rs on. 
• set all m y onl ine profiles to be as private as they can b e. 
• save any abusive, threatening or harassing com ments, posts, or texts. 
• never  give my pas sword to anyone. 
• I f the abuse and harassment does not stop, change my usernames, email  add resses, 
and/or cell phone number. 
• I will  no t answe r calls from unknown, bloc ked or priv ate number s . 
• see  if my phone c ompany c an bloc k my  abus er ’s phone number from calling my  phone. 
• I will  no t com mu nicate  wi th my abu s er  us ing any type of technology, ev en responding to 
m essages, texts or emails can lea d to more pr ob lems. 

Specific safety concern I have: 
_____________________________________________________________________________
_____________________________________________________________________________
Possible way to handle it: 
_____________________________________________________________________________
_____________________________________________________________________________
____________________________________________________________________________
Possible resource to help: ___________________________________________________ 
Specific safety concern I have: 
_____________________________________________________________________________
_____________________________________________________________________________
Possible way to handle it: 
_____________________________________________________________________________
_____________________________________________________________________________
____________________________________________________________________________
Possible resource to help: ___________________________________________________ 
Specific safety concern I have: 
_____________________________________________________________________________
_____________________________________________________________________________
Possible way to handle it: 
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Possible resource to help: ___________________________________________________ 
 
             
    
