Sign up
Sign up, and we take it from there.
Two things: your email address and a phone number. That is the whole form — there is nothing to look up, nothing to dig out of a drawer, and no questions about your health on this page. Your care team handles the rest on our side.
Your privacy
Who sees your answers
Your individual answers and scores go to your OneVillage care team and nobody else. The Palo Alto Fire Department never sees an individual result — the Department receives aggregate, de-identified participation reporting only.
Your phone number is used by your care team to reach you about your visits. It is not used for marketing, and it is never shared with the Department.