Homeless Women and Children Survey

Question Title

* 1. What is your gender ?

Male

Female

Question Title

* 2. Which category below includes your age?

15-20

21-30

31-45

46-60

61 or older

Question Title

* 3. What is your race ?

White

Hispanic

Black or African-American

American Indian or Alaskan Native

Asian

Native Hawaiian or other Pacific Islander

From multiple races

Other (please specify)

Question Title

* 4. How often do you attend religious services?

Never

Special occasions

Occasionally

Monthly

Weekly or more

Question Title

* 5. What is your annual household income ?

$0.00-$10,000

$10,001-$35,5000

$35,501-$75,500

$75,501-$100,000

$100,001+

Question Title

* 6. What is your education level ?

High School

Some College

College Graduate

Graduate School

Other (please specify)

Question Title

* 7. Tell me what you think about Homelessness.

	Strongly Disagree	Somewhat Disagree	Agree	Somewhat Agree	Strongly Agree
Do you think that domestic violence causes chronic homelessness among women?	Do you think that domestic violence causes chronic homelessness among women? Strongly Disagree	Do you think that domestic violence causes chronic homelessness among women? Somewhat Disagree	Do you think that domestic violence causes chronic homelessness among women? Agree	Do you think that domestic violence causes chronic homelessness among women? Somewhat Agree	Do you think that domestic violence causes chronic homelessness among women? Strongly Agree
Do you think that men are more likely to become homeless than women?	Do you think that men are more likely to become homeless than women? Strongly Disagree	Do you think that men are more likely to become homeless than women? Somewhat Disagree	Do you think that men are more likely to become homeless than women? Agree	Do you think that men are more likely to become homeless than women? Somewhat Agree	Do you think that men are more likely to become homeless than women? Strongly Agree
Do you think homelessness among young children is child abuse?	Do you think homelessness among young children is child abuse? Strongly Disagree	Do you think homelessness among young children is child abuse? Somewhat Disagree	Do you think homelessness among young children is child abuse? Agree	Do you think homelessness among young children is child abuse? Somewhat Agree	Do you think homelessness among young children is child abuse? Strongly Agree
Do you think that social programs will help end homelessness among women and children?	Do you think that social programs will help end homelessness among women and children? Strongly Disagree	Do you think that social programs will help end homelessness among women and children? Somewhat Disagree	Do you think that social programs will help end homelessness among women and children? Agree	Do you think that social programs will help end homelessness among women and children? Somewhat Agree	Do you think that social programs will help end homelessness among women and children? Strongly Agree
Do you think that unemployment among women cause homelessness?	Do you think that unemployment among women cause homelessness? Strongly Disagree	Do you think that unemployment among women cause homelessness? Somewhat Disagree	Do you think that unemployment among women cause homelessness? Agree	Do you think that unemployment among women cause homelessness? Somewhat Agree	Do you think that unemployment among women cause homelessness? Strongly Agree
Do you think that the education level of women contributes to homelessness?	Do you think that the education level of women contributes to homelessness? Strongly Disagree	Do you think that the education level of women contributes to homelessness? Somewhat Disagree	Do you think that the education level of women contributes to homelessness? Agree	Do you think that the education level of women contributes to homelessness? Somewhat Agree	Do you think that the education level of women contributes to homelessness? Strongly Agree
Would you agree that increasing divorce rates contribute to more women and children becoming homeless?	Would you agree that increasing divorce rates contribute to more women and children becoming homeless? Strongly Disagree	Would you agree that increasing divorce rates contribute to more women and children becoming homeless? Somewhat Disagree	Would you agree that increasing divorce rates contribute to more women and children becoming homeless? Agree	Would you agree that increasing divorce rates contribute to more women and children becoming homeless? Somewhat Agree	Would you agree that increasing divorce rates contribute to more women and children becoming homeless? Strongly Agree
Would you agree that parents who are homeless creates a cycle of homelessness for children?	Would you agree that parents who are homeless creates a cycle of homelessness for children? Strongly Disagree	Would you agree that parents who are homeless creates a cycle of homelessness for children? Somewhat Disagree	Would you agree that parents who are homeless creates a cycle of homelessness for children? Agree	Would you agree that parents who are homeless creates a cycle of homelessness for children? Somewhat Agree	Would you agree that parents who are homeless creates a cycle of homelessness for children? Strongly Agree
Do you think the government should provide services to poor women and children?	Do you think the government should provide services to poor women and children? Strongly Disagree	Do you think the government should provide services to poor women and children? Somewhat Disagree	Do you think the government should provide services to poor women and children? Agree	Do you think the government should provide services to poor women and children? Somewhat Agree	Do you think the government should provide services to poor women and children? Strongly Agree
Do you think there are enough shelters and services for women and children?	Do you think there are enough shelters and services for women and children? Strongly Disagree	Do you think there are enough shelters and services for women and children? Somewhat Disagree	Do you think there are enough shelters and services for women and children? Agree	Do you think there are enough shelters and services for women and children? Somewhat Agree	Do you think there are enough shelters and services for women and children? Strongly Agree

Question Title

* 8. How long do you think the average female led family stays homeless?

less then a year

more than 2 years

3 to 5 years

6 to 8 years

9 + years

Question Title

* 1. What is your gender ?

Question Title

* 2. Which category below includes your age?

Question Title

* 3. What is your race ?

Question Title

* 4. How often do you attend religious services?

Question Title

* 5. What is your annual household income ?

Question Title

* 6. What is your education level ?

Question Title

* 7. Tell me what you think about Homelessness.

Question Title

* 8. How long do you think the average female led family stays homeless?

Question Title

* 9. What suggestions would you say could help end homelessness?