{"id":1326,"date":"2026-09-02T22:53:03","date_gmt":"2026-09-02T22:53:03","guid":{"rendered":"https:\/\/forms.westernu.edu\/students\/?page_id=1326"},"modified":"2026-09-02T22:53:20","modified_gmt":"2026-09-02T22:53:20","slug":"care-cabinet","status":"publish","type":"page","link":"https:\/\/forms.westernu.edu\/students\/care-cabinet\/","title":{"rendered":"Care Cabinet"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_78' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Care Cabinet | Inventory Data<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_78'  action='\/students\/wp-json\/wp\/v2\/pages\/1326' data-formid='78' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_78' class='gform_fields top_label form_sublabel_above description_above validation_above'><div id=\"field_78_15\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  >Thank you for using the WesternU Care Cabinet. We are asking students to complete this brief, anonymous survey to help us better understand how the Care Cabinets are being used and how we can make this resource more helpful to our students. Your feedback will help us determine what types of food and other items are most useful, whether students are using the cabinets for occasional or ongoing support, and whether additional resources may be helpful. There are no right or wrong answers, and you are not required to provide any personal information. Thank you for taking a few moments to share your experience with us.\n<\/div><fieldset id=\"field_78_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Which Care Cabinet did you use?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_78_6'>\n\t\t\t<div class='gchoice gchoice_78_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='HPC - Student Commons'  id='choice_78_6_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_6_0' id='label_78_6_0' class='gform-field-label gform-field-label--type-inline'>HPC - Student Commons<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_78_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Library - Near LEAD Office'  id='choice_78_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_6_1' id='label_78_6_1' class='gform-field-label gform-field-label--type-inline'>Library - Near LEAD Office<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_78_8\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>What type of support did you use?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_78_8'><div class='gchoice gchoice_78_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='Food (Quick Grab and Go Items)'  id='choice_78_8_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_8_1' id='label_78_8_1' class='gform-field-label gform-field-label--type-inline'>Food (Quick Grab and Go Items)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_8_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.2' type='checkbox'  value='Food (Take and Prepare Items)'  id='choice_78_8_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_8_2' id='label_78_8_2' class='gform-field-label gform-field-label--type-inline'>Food (Take and Prepare Items)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_8_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.3' type='checkbox'  value='Hygiene Products'  id='choice_78_8_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_8_3' id='label_78_8_3' class='gform-field-label gform-field-label--type-inline'>Hygiene Products<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_8_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_78_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Is this helping with an occasional or ongoing need?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_78_7'>\n\t\t\t<div class='gchoice gchoice_78_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Occasional'  id='choice_78_7_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_7_0' id='label_78_7_0' class='gform-field-label gform-field-label--type-inline'>Occasional<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_78_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Ongoing'  id='choice_78_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_7_1' id='label_78_7_1' class='gform-field-label gform-field-label--type-inline'>Ongoing<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_78_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>How frequently do you use the Care Cabinet?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_78_16'>\n\t\t\t<div class='gchoice gchoice_78_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='This is my first time using the Care Cabinet'  id='choice_78_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_16_0' id='label_78_16_0' class='gform-field-label gform-field-label--type-inline'>This is my first time using the Care Cabinet<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_78_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Less than once a month'  id='choice_78_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_16_1' id='label_78_16_1' class='gform-field-label gform-field-label--type-inline'>Less than once a month<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_78_16_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='1\u20132 times a month'  id='choice_78_16_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_16_2' id='label_78_16_2' class='gform-field-label gform-field-label--type-inline'>1\u20132 times a month<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_78_16_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='1\u20132 times a week'  id='choice_78_16_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_16_3' id='label_78_16_3' class='gform-field-label gform-field-label--type-inline'>1\u20132 times a week<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_78_16_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='3\u20134 times a week'  id='choice_78_16_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_16_4' id='label_78_16_4' class='gform-field-label gform-field-label--type-inline'>3\u20134 times a week<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_78_16_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Daily or almost daily'  id='choice_78_16_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_16_5' id='label_78_16_5' class='gform-field-label gform-field-label--type-inline'>Daily or almost daily<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_78_16_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='I use the Care Cabinet only when I have an immediate need'  id='choice_78_16_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_16_6' id='label_78_16_6' class='gform-field-label gform-field-label--type-inline'>I use the Care Cabinet only when I have an immediate need<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_78_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like information about additional resources?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_78_9'>\n\t\t\t<div class='gchoice gchoice_78_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Yes'  id='choice_78_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_9_0' id='label_78_9_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_78_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='No'  id='choice_78_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_9_1' id='label_78_9_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_78_10\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_78_10'>The Office of Student Life and Student Leadership will be in contact with you if you provide your email address below.<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_78_10'>\n                            \n                            <span id='input_78_10_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_78_10_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_10.3' id='input_78_10_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_78_10_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_78_10_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_10.6' id='input_78_10_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_78_11\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_78_11'><span class='gform-field-label__text'>What is your WesternU Email Address:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_11' id='input_78_11' type='email' value='@westernu.edu' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_78_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you give the Office of Student Life and Student Leadership permission to reach out to your Student Affairs Professional within your college to make them aware of your needs?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_78_14'>\n\t\t\t<div class='gchoice gchoice_78_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Yes'  id='choice_78_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_14_0' id='label_78_14_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_78_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='No'  id='choice_78_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_14_1' id='label_78_14_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_78_5\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_78_5'><span class='gform-field-label__text'>Any additional information you&#039;d like to add:<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_5' id='input_78_5' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' 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