Are you homeless, living in a car, couch surfing or feel you are at risk of becoming homeless in the Sooke Region (from Port Renfrew to Beecher Bay)?
 
Your voice matters!
 
Sooke Region Communities Health Network (SRCHN) is inviting you to take part in this short survey. Your answers will be completely anonymous.
 

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1. What is your age?

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2. What is your gender?

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3. What is your ethnicity?

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4. Is Sooke Region your home community?

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5. How long have you lived in Sooke Region?

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6. Where did you sleep last night?

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7. On average, over the past two months, where have you been living?

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8. Would you consider this to be your main accommodation at present?

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9. Is your current accommodation permanent or temporary?

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10. In your current accommodation, is there any risk to your own health and/or safety?

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11. Do you live with a partner?

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12. Do you have any children under the age of 18 dependent on you for care?

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13. If yes, how many children do you care for under the age of 18?

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14. Are you responsible for the care of any pets?

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15. Are you worried that in the next two months you may NOT have stable accommodation?

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16. If you felt you might lose your current accommodation, or you already find yourself homeless, do you know what services are available in Sooke to help you?

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17. On a scale of 0 to 10, how confident would you feel about accessing homelessness support services in Sooke with 0 being not confident at all and 10 being completely confident?

0 10
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i We adjusted the number you entered based on the slider’s scale.

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18. Would you ask for help from services if you were on the close to becoming homelessness?

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19. Could you tell us why you may or may not be willing to ask for help from services if you were in this situation?

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20. Do you currently access any of the following services (please select all that apply)?

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21. Are there any services that you are not accessing but you think would help you?
 

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22. What do you think, if anything, might stand in the way of you accessing services that you feel you need?

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23. How many filling meals have you had in the last week?

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24. Where do you get your food from?

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25. Where do your main sources of income come from? (please tick all that apply)

0 of 25 answered
 

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