Survey on Homelessness Question Title * 1. Your initials: Question Title * 2. Survey Number: Question Title * 3. Which two of the following reasons do you believe are the most common reasons for homelessness? Poverty Substance abuse / addiction Mental illness Lack of family / friend support Veteran / PTSD Other (please specify) Question Title * 4. How would you rate the city’s ability to care for our homeless population? Excellent Okay Needs improvement Poor Other (please specify) Question Title * 5. Whose responsibility is it to help the homeless? Federal government State government Local government Charities Other (please specify) Question Title * 6. How do you respond to someone who is begging for money? I try to give them some money. I try to give them food or water. I ignore them. Other (please specify) Question Title * 7. Have you ever volunteered to work in a homeless shelter? Yes No Question Title * 8. If you found yourself temporarily homeless, do you think that you have a family member or a friend who could house you and your family? Yes No Not Sure Done
