Screen Reader Mode Icon

Question Title

* 1. How would you rate your overall health?

Question Title

* 2. What type of home do you currently live in?

Question Title

* 3. Do you feel you have enough money for food, shelter, and clothing expenses?

Question Title

* 4. Do you have any difficulties paying your utility bills including gas (heat), electric, water, trash, telephone, internet utilities

Question Title

* 5. Do you have difficulty with transportation to medical care?

Question Title

* 6. Indicate if you have ever used any of the following services:

0 of 25 answered
 

T