Human Trafficking Victim Vulnerability Assessment
Client Information
Name
Date of Assessment
Assessor Name
Demographics
Age
Gender
Nationality
Risk & Vulnerability Indicators
Has the individual experienced physical, emotional, or sexual abuse?
Yes
No
Unknown
Is the individual in unstable housing or homeless?
Yes
No
Unknown
History of running away or being absent from home/care?
Yes
No
Unknown
Does the individual have unmet financial needs?
Yes
No
Unknown
Has the individual ever been forced, coerced, or threatened to work or perform services?
Yes
No
Unknown
Does the individual have a legal guardian or social support?
Yes
No
Unknown
Is there evidence of substance misuse?
Yes
No
Unknown
Other Risks and Notes
Describe any additional risks, concerns, or observations: