Transition House Outcome Measurement Survey 2013

	Skill level improved	No need to address	No change, Needs improvement	Skill level declined
personal hygiene skills	personal hygiene skills Skill level improved	personal hygiene skills No need to address	personal hygiene skills No change, Needs improvement	personal hygiene skills Skill level declined
self-esteem	self-esteem Skill level improved	self-esteem No need to address	self-esteem No change, Needs improvement	self-esteem Skill level declined
money management skills	money management skills Skill level improved	money management skills No need to address	money management skills No change, Needs improvement	money management skills Skill level declined
sense of safety and security in your housing	sense of safety and security in your housing Skill level improved	sense of safety and security in your housing No need to address	sense of safety and security in your housing No change, Needs improvement	sense of safety and security in your housing Skill level declined
work-related skills	work-related skills Skill level improved	work-related skills No need to address	work-related skills No change, Needs improvement	work-related skills Skill level declined
ability to cope with your emotions	ability to cope with your emotions Skill level improved	ability to cope with your emotions No need to address	ability to cope with your emotions No change, Needs improvement	ability to cope with your emotions Skill level declined
ability to manage your mental illness	ability to manage your mental illness Skill level improved	ability to manage your mental illness No need to address	ability to manage your mental illness No change, Needs improvement	ability to manage your mental illness Skill level declined
ability to take medications as prescribed by your doctor	ability to take medications as prescribed by your doctor Skill level improved	ability to take medications as prescribed by your doctor No need to address	ability to take medications as prescribed by your doctor No change, Needs improvement	ability to take medications as prescribed by your doctor Skill level declined
awareness of community resources	awareness of community resources Skill level improved	awareness of community resources No need to address	awareness of community resources No change, Needs improvement	awareness of community resources Skill level declined
knowledge of mental health providers in the community	knowledge of mental health providers in the community Skill level improved	knowledge of mental health providers in the community No need to address	knowledge of mental health providers in the community No change, Needs improvement	knowledge of mental health providers in the community Skill level declined
schedule and attend mental health appointments	schedule and attend mental health appointments Skill level improved	schedule and attend mental health appointments No need to address	schedule and attend mental health appointments No change, Needs improvement	schedule and attend mental health appointments Skill level declined
stable source of income	stable source of income Skill level improved	stable source of income No need to address	stable source of income No change, Needs improvement	stable source of income Skill level declined

Skill level improved

No need to address

No change, Needs improvement

Skill level declined

personal hygiene skills

personal hygiene skills Skill level improved

personal hygiene skills No need to address

personal hygiene skills No change, Needs improvement

personal hygiene skills Skill level declined

self-esteem

self-esteem Skill level improved

self-esteem No need to address

self-esteem No change, Needs improvement

self-esteem Skill level declined

money management skills

money management skills Skill level improved

money management skills No need to address

money management skills No change, Needs improvement

money management skills Skill level declined

sense of safety and security in your housing

sense of safety and security in your housing Skill level improved

sense of safety and security in your housing No need to address

sense of safety and security in your housing No change, Needs improvement

sense of safety and security in your housing Skill level declined

work-related skills

work-related skills Skill level improved

work-related skills No need to address

work-related skills No change, Needs improvement

work-related skills Skill level declined

ability to cope with your emotions

ability to cope with your emotions Skill level improved

ability to cope with your emotions No need to address

ability to cope with your emotions No change, Needs improvement

ability to cope with your emotions Skill level declined

ability to manage your mental illness

ability to manage your mental illness Skill level improved

ability to manage your mental illness No need to address

ability to manage your mental illness No change, Needs improvement

ability to manage your mental illness Skill level declined

ability to take medications as prescribed by your doctor

ability to take medications as prescribed by your doctor Skill level improved

ability to take medications as prescribed by your doctor No need to address

ability to take medications as prescribed by your doctor No change, Needs improvement

ability to take medications as prescribed by your doctor Skill level declined

awareness of community resources

awareness of community resources Skill level improved

awareness of community resources No need to address

awareness of community resources No change, Needs improvement

awareness of community resources Skill level declined

knowledge of mental health providers in the community

knowledge of mental health providers in the community Skill level improved

knowledge of mental health providers in the community No need to address

knowledge of mental health providers in the community No change, Needs improvement

knowledge of mental health providers in the community Skill level declined

schedule and attend mental health appointments

schedule and attend mental health appointments Skill level improved

schedule and attend mental health appointments No need to address

schedule and attend mental health appointments No change, Needs improvement

schedule and attend mental health appointments Skill level declined

stable source of income

stable source of income Skill level improved

stable source of income No need to address

stable source of income No change, Needs improvement

stable source of income Skill level declined

	Yes	No	Somewhat
have your healthy social interactions increased?	have your healthy social interactions increased? Yes	have your healthy social interactions increased? No	have your healthy social interactions increased? Somewhat
do you feel less isolated?	do you feel less isolated? Yes	do you feel less isolated? No	do you feel less isolated? Somewhat
have your personal and interpersonal skills improved?	have your personal and interpersonal skills improved? Yes	have your personal and interpersonal skills improved? No	have your personal and interpersonal skills improved? Somewhat
do you feel a greater sense of belonging in the community?	do you feel a greater sense of belonging in the community? Yes	do you feel a greater sense of belonging in the community? No	do you feel a greater sense of belonging in the community? Somewhat
have your social and recreational skills improved?	have your social and recreational skills improved? Yes	have your social and recreational skills improved? No	have your social and recreational skills improved? Somewhat

Yes

Somewhat

have your healthy social interactions increased?

have your healthy social interactions increased? Yes

have your healthy social interactions increased? No

have your healthy social interactions increased? Somewhat

do you feel less isolated?

do you feel less isolated? Yes

do you feel less isolated? No

do you feel less isolated? Somewhat

have your personal and interpersonal skills improved?

have your personal and interpersonal skills improved? Yes

have your personal and interpersonal skills improved? No

have your personal and interpersonal skills improved? Somewhat

do you feel a greater sense of belonging in the community?

do you feel a greater sense of belonging in the community? Yes

do you feel a greater sense of belonging in the community? No

do you feel a greater sense of belonging in the community? Somewhat

have your social and recreational skills improved?

have your social and recreational skills improved? Yes

have your social and recreational skills improved? No

have your social and recreational skills improved? Somewhat

Question Title

* 3. Briefly state what changes have occurred in the following life areas SINCE coming to TH.

daily living skills:

employment skills:

social and recreational skills:

Question Title

* 4. Describe your involvement with Transition House (check all that apply):

Currently in Transitional Living Program

Past participant in Transitional Living Program

Not part of Transitional Living program now but in contact with TH staff

Question Title

* 5. How often do you have contact with TH staff, if not part of Transitional Living Program?

Frequently: several times a week

Occasionally: several times a month

Not much: several times a year

Rarely: few times a year

Not applicable - I'm in the Transitional Living program

Question Title

* 6. If you were once in the Transitional Living program, did you complete the requirements and graduate?

Yes

I don't really know

Please explain:

Transition House Outcome Measurement Survey 2013

1. Transition House, Inc., Needs Your Help.

Question Title

* 1. Please tell us about yourself since coming to TH. How would you rate yourself SINCE coming to TH.

Question Title

* 2. Please tell us about your social and interpersonal relationships since coming to TH.

Question Title

* 3. Briefly state what changes have occurred in the following life areas SINCE coming to TH.

Question Title

* 4. Describe your involvement with Transition House (check all that apply):

Question Title

* 5. How often do you have contact with TH staff, if not part of Transitional Living Program?

Question Title

* 6. If you were once in the Transitional Living program, did you complete the requirements and graduate?

Question Title

* 7. Comments: