Single point of intake

Eligible clients: newly housed homeless people
Delivery is being provided by Habitat for Humanity and we wish to co-ordinate all deliveries into one single drop off.
Drop offs will be at the outside door of the building, recipients will be expected to bring their goods inside and set up their bed themselves.
Bedding colours will be restricted by what is available, it is more helpful to include what they HATE as much as it is what they'd love. Bedding is a basic 'bed in a bag' from Walmart.

Not for people experiencing disaster or bed bugs etc.

Question Title

* 1. Referring Agency contact information

Question Title

* 2. Client contact and delivery information

Question Title

* 3. Mattress size for adult(s)

Question Title

* 4. Twin mattress or mattresses for children

1 3 6
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 5. Is bedding needed for all mattresses?

Question Title

* 6. Bedding colour suggestions:

Question Title

* 7. Is a "home starter kit" required at this time? (one per household)

Question Title

* 8. Data question for reporting requirements

Question Title

* 9. Anything else we need to know

0 of 9 answered
 

T