Shelter and Homeless Services in Berkeley

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* 1. Name

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* 2. Email/Phone (preferred contact method)

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* 3. Please indicate your experience with each of the following types of shelter?

	I live here now and plan on living here	I've lived here in the past, but plan on never living here again	I've lived here in the past and was evicted (please specify)	I would live here	I would not live here
Shelters, emergency drop-in	Shelters, emergency drop-in I live here now and plan on living here	Shelters, emergency drop-in I've lived here in the past, but plan on never living here again	Shelters, emergency drop-in I've lived here in the past and was evicted (please specify)	Shelters, emergency drop-in I would live here	Shelters, emergency drop-in I would not live here
Vehicles	Vehicles I live here now and plan on living here	Vehicles I've lived here in the past, but plan on never living here again	Vehicles I've lived here in the past and was evicted (please specify)	Vehicles I would live here	Vehicles I would not live here
Unsanctioned Encampments/Tents	Unsanctioned Encampments/Tents I live here now and plan on living here	Unsanctioned Encampments/Tents I've lived here in the past, but plan on never living here again	Unsanctioned Encampments/Tents I've lived here in the past and was evicted (please specify)	Unsanctioned Encampments/Tents I would live here	Unsanctioned Encampments/Tents I would not live here
Sanctioned Encampments/Tents	Sanctioned Encampments/Tents I live here now and plan on living here	Sanctioned Encampments/Tents I've lived here in the past, but plan on never living here again	Sanctioned Encampments/Tents I've lived here in the past and was evicted (please specify)	Sanctioned Encampments/Tents I would live here	Sanctioned Encampments/Tents I would not live here
Supportive housing (government funded)	Supportive housing (government funded) I live here now and plan on living here	Supportive housing (government funded) I've lived here in the past, but plan on never living here again	Supportive housing (government funded) I've lived here in the past and was evicted (please specify)	Supportive housing (government funded) I would live here	Supportive housing (government funded) I would not live here
Affordable/Subsidized housing (government-funded)	Affordable/Subsidized housing (government-funded) I live here now and plan on living here	Affordable/Subsidized housing (government-funded) I've lived here in the past, but plan on never living here again	Affordable/Subsidized housing (government-funded) I've lived here in the past and was evicted (please specify)	Affordable/Subsidized housing (government-funded) I would live here	Affordable/Subsidized housing (government-funded) I would not live here
Tiny Home on a Private lot	Tiny Home on a Private lot I live here now and plan on living here	Tiny Home on a Private lot I've lived here in the past, but plan on never living here again	Tiny Home on a Private lot I've lived here in the past and was evicted (please specify)	Tiny Home on a Private lot I would live here	Tiny Home on a Private lot I would not live here
Tiny Home on a Public lot	Tiny Home on a Public lot I live here now and plan on living here	Tiny Home on a Public lot I've lived here in the past, but plan on never living here again	Tiny Home on a Public lot I've lived here in the past and was evicted (please specify)	Tiny Home on a Public lot I would live here	Tiny Home on a Public lot I would not live here
Tiny Home Community (autonomous, public or private land)	Tiny Home Community (autonomous, public or private land) I live here now and plan on living here	Tiny Home Community (autonomous, public or private land) I've lived here in the past, but plan on never living here again	Tiny Home Community (autonomous, public or private land) I've lived here in the past and was evicted (please specify)	Tiny Home Community (autonomous, public or private land) I would live here	Tiny Home Community (autonomous, public or private land) I would not live here
Permanently Affordable (CLT model) housing	Permanently Affordable (CLT model) housing I live here now and plan on living here	Permanently Affordable (CLT model) housing I've lived here in the past, but plan on never living here again	Permanently Affordable (CLT model) housing I've lived here in the past and was evicted (please specify)	Permanently Affordable (CLT model) housing I would live here	Permanently Affordable (CLT model) housing I would not live here
Rent Control	Rent Control I live here now and plan on living here	Rent Control I've lived here in the past, but plan on never living here again	Rent Control I've lived here in the past and was evicted (please specify)	Rent Control I would live here	Rent Control I would not live here
Market rate (no rent control or permanent affordability)	Market rate (no rent control or permanent affordability) I live here now and plan on living here	Market rate (no rent control or permanent affordability) I've lived here in the past, but plan on never living here again	Market rate (no rent control or permanent affordability) I've lived here in the past and was evicted (please specify)	Market rate (no rent control or permanent affordability) I would live here	Market rate (no rent control or permanent affordability) I would not live here

Other (please specify)

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* 4. Please indicate how you support or plan to support each of the following types of shelter?

	I support my neighbors in their rights to live here	I explicitly do not support this type of shelter	I am indifferent to this type of shelter	I own property available for this type of shelter (please specify)
Shelters, emergency drop-in	Shelters, emergency drop-in I support my neighbors in their rights to live here	Shelters, emergency drop-in I explicitly do not support this type of shelter	Shelters, emergency drop-in I am indifferent to this type of shelter	Shelters, emergency drop-in I own property available for this type of shelter (please specify)
Vehicles	Vehicles I support my neighbors in their rights to live here	Vehicles I explicitly do not support this type of shelter	Vehicles I am indifferent to this type of shelter	Vehicles I own property available for this type of shelter (please specify)
Unsanctioned Encampments/Tents	Unsanctioned Encampments/Tents I support my neighbors in their rights to live here	Unsanctioned Encampments/Tents I explicitly do not support this type of shelter	Unsanctioned Encampments/Tents I am indifferent to this type of shelter	Unsanctioned Encampments/Tents I own property available for this type of shelter (please specify)
Sanctioned Encampments/Tents (no city services - water or trash)	Sanctioned Encampments/Tents (no city services - water or trash) I support my neighbors in their rights to live here	Sanctioned Encampments/Tents (no city services - water or trash) I explicitly do not support this type of shelter	Sanctioned Encampments/Tents (no city services - water or trash) I am indifferent to this type of shelter	Sanctioned Encampments/Tents (no city services - water or trash) I own property available for this type of shelter (please specify)
Sanctioned Encampments/Tents (including city services - water and trash)	Sanctioned Encampments/Tents (including city services - water and trash) I support my neighbors in their rights to live here	Sanctioned Encampments/Tents (including city services - water and trash) I explicitly do not support this type of shelter	Sanctioned Encampments/Tents (including city services - water and trash) I am indifferent to this type of shelter	Sanctioned Encampments/Tents (including city services - water and trash) I own property available for this type of shelter (please specify)
Supportive housing (government funded)	Supportive housing (government funded) I support my neighbors in their rights to live here	Supportive housing (government funded) I explicitly do not support this type of shelter	Supportive housing (government funded) I am indifferent to this type of shelter	Supportive housing (government funded) I own property available for this type of shelter (please specify)
Affordable/Subsidized housing (government-funded)	Affordable/Subsidized housing (government-funded) I support my neighbors in their rights to live here	Affordable/Subsidized housing (government-funded) I explicitly do not support this type of shelter	Affordable/Subsidized housing (government-funded) I am indifferent to this type of shelter	Affordable/Subsidized housing (government-funded) I own property available for this type of shelter (please specify)
Tiny Home on a Private lot	Tiny Home on a Private lot I support my neighbors in their rights to live here	Tiny Home on a Private lot I explicitly do not support this type of shelter	Tiny Home on a Private lot I am indifferent to this type of shelter	Tiny Home on a Private lot I own property available for this type of shelter (please specify)
Tiny Home on a Public lot	Tiny Home on a Public lot I support my neighbors in their rights to live here	Tiny Home on a Public lot I explicitly do not support this type of shelter	Tiny Home on a Public lot I am indifferent to this type of shelter	Tiny Home on a Public lot I own property available for this type of shelter (please specify)
Tiny Home Community (autonomous,, public or private lot)	Tiny Home Community (autonomous,, public or private lot) I support my neighbors in their rights to live here	Tiny Home Community (autonomous,, public or private lot) I explicitly do not support this type of shelter	Tiny Home Community (autonomous,, public or private lot) I am indifferent to this type of shelter	Tiny Home Community (autonomous,, public or private lot) I own property available for this type of shelter (please specify)
Permanently Affordable (CLT model) hosuing	Permanently Affordable (CLT model) hosuing I support my neighbors in their rights to live here	Permanently Affordable (CLT model) hosuing I explicitly do not support this type of shelter	Permanently Affordable (CLT model) hosuing I am indifferent to this type of shelter	Permanently Affordable (CLT model) hosuing I own property available for this type of shelter (please specify)
Rent Control (affordability for lease term)	Rent Control (affordability for lease term) I support my neighbors in their rights to live here	Rent Control (affordability for lease term) I explicitly do not support this type of shelter	Rent Control (affordability for lease term) I am indifferent to this type of shelter	Rent Control (affordability for lease term) I own property available for this type of shelter (please specify)
Market rate (no rent control or permanent affordability)	Market rate (no rent control or permanent affordability) I support my neighbors in their rights to live here	Market rate (no rent control or permanent affordability) I explicitly do not support this type of shelter	Market rate (no rent control or permanent affordability) I am indifferent to this type of shelter	Market rate (no rent control or permanent affordability) I own property available for this type of shelter (please specify)

Other (please specify)

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* 5. What types of services have you received from the City of Berkeley or Alameda County (select all that apply)?

Shelter, Temporary Housing

Permanent Supportive Housing

Affordable/Subsidized Housing

Daytime Services (showers, lockers, etc.)

Addiction Treatment

Medical/Healthcare

Food

Transportation

Other (please specify)

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* 6. Have you used services or products from the following government-funded institutions in the City of Berkeley or Alameda County (select all that apply)?

	No, never	Yes, in the past 6 months	Yes, in the past year	Yes, in the past 5 years	Yes, and I would work with this organization for pay	No, but I plan on using their products/services in the future
Alameda County Homeless Action Center - $ 126,349 proposed 2018	Alameda County Homeless Action Center - $ 126,349 proposed 2018 No, never	Alameda County Homeless Action Center - $ 126,349 proposed 2018 Yes, in the past 6 months	Alameda County Homeless Action Center - $ 126,349 proposed 2018 Yes, in the past year	Alameda County Homeless Action Center - $ 126,349 proposed 2018 Yes, in the past 5 years	Alameda County Homeless Action Center - $ 126,349 proposed 2018 Yes, and I would work with this organization for pay	Alameda County Homeless Action Center - $ 126,349 proposed 2018 No, but I plan on using their products/services in the future
Alameda County Network of Mental Health Clients - $ 89,817 proposed 2018	Alameda County Network of Mental Health Clients - $ 89,817 proposed 2018 No, never	Alameda County Network of Mental Health Clients - $ 89,817 proposed 2018 Yes, in the past 6 months	Alameda County Network of Mental Health Clients - $ 89,817 proposed 2018 Yes, in the past year	Alameda County Network of Mental Health Clients - $ 89,817 proposed 2018 Yes, in the past 5 years	Alameda County Network of Mental Health Clients - $ 89,817 proposed 2018 Yes, and I would work with this organization for pay	Alameda County Network of Mental Health Clients - $ 89,817 proposed 2018 No, but I plan on using their products/services in the future
Berkeley Food & Housing Project (BFHP)/The Hub- $ 1,971,570 proposed 2018	Berkeley Food & Housing Project (BFHP)/The Hub- $ 1,971,570 proposed 2018 No, never	Berkeley Food & Housing Project (BFHP)/The Hub- $ 1,971,570 proposed 2018 Yes, in the past 6 months	Berkeley Food & Housing Project (BFHP)/The Hub- $ 1,971,570 proposed 2018 Yes, in the past year	Berkeley Food & Housing Project (BFHP)/The Hub- $ 1,971,570 proposed 2018 Yes, in the past 5 years	Berkeley Food & Housing Project (BFHP)/The Hub- $ 1,971,570 proposed 2018 Yes, and I would work with this organization for pay	Berkeley Food & Housing Project (BFHP)/The Hub- $ 1,971,570 proposed 2018 No, but I plan on using their products/services in the future
Building Opportunities for Self-Sufficiency (BOSS) - $ 360,081 proposed 2018	Building Opportunities for Self-Sufficiency (BOSS) - $ 360,081 proposed 2018 No, never	Building Opportunities for Self-Sufficiency (BOSS) - $ 360,081 proposed 2018 Yes, in the past 6 months	Building Opportunities for Self-Sufficiency (BOSS) - $ 360,081 proposed 2018 Yes, in the past year	Building Opportunities for Self-Sufficiency (BOSS) - $ 360,081 proposed 2018 Yes, in the past 5 years	Building Opportunities for Self-Sufficiency (BOSS) - $ 360,081 proposed 2018 Yes, and I would work with this organization for pay	Building Opportunities for Self-Sufficiency (BOSS) - $ 360,081 proposed 2018 No, but I plan on using their products/services in the future
Positive Change/Homeward Bound- last funded 2015, $7,130	Positive Change/Homeward Bound- last funded 2015, $7,130 No, never	Positive Change/Homeward Bound- last funded 2015, $7,130 Yes, in the past 6 months	Positive Change/Homeward Bound- last funded 2015, $7,130 Yes, in the past year	Positive Change/Homeward Bound- last funded 2015, $7,130 Yes, in the past 5 years	Positive Change/Homeward Bound- last funded 2015, $7,130 Yes, and I would work with this organization for pay	Positive Change/Homeward Bound- last funded 2015, $7,130 No, but I plan on using their products/services in the future
North Berkeley Senior Center	North Berkeley Senior Center No, never	North Berkeley Senior Center Yes, in the past 6 months	North Berkeley Senior Center Yes, in the past year	North Berkeley Senior Center Yes, in the past 5 years	North Berkeley Senior Center Yes, and I would work with this organization for pay	North Berkeley Senior Center No, but I plan on using their products/services in the future
Russell Street Supportive Housing - $ 43,045 proposed 2018 (part of BFHP)	Russell Street Supportive Housing - $ 43,045 proposed 2018 (part of BFHP) No, never	Russell Street Supportive Housing - $ 43,045 proposed 2018 (part of BFHP) Yes, in the past 6 months	Russell Street Supportive Housing - $ 43,045 proposed 2018 (part of BFHP) Yes, in the past year	Russell Street Supportive Housing - $ 43,045 proposed 2018 (part of BFHP) Yes, in the past 5 years	Russell Street Supportive Housing - $ 43,045 proposed 2018 (part of BFHP) Yes, and I would work with this organization for pay	Russell Street Supportive Housing - $ 43,045 proposed 2018 (part of BFHP) No, but I plan on using their products/services in the future
Bonita House - $ 18,151 proposed 2018	Bonita House - $ 18,151 proposed 2018 No, never	Bonita House - $ 18,151 proposed 2018 Yes, in the past 6 months	Bonita House - $ 18,151 proposed 2018 Yes, in the past year	Bonita House - $ 18,151 proposed 2018 Yes, in the past 5 years	Bonita House - $ 18,151 proposed 2018 Yes, and I would work with this organization for pay	Bonita House - $ 18,151 proposed 2018 No, but I plan on using their products/services in the future
South Berkeley Senior Center	South Berkeley Senior Center No, never	South Berkeley Senior Center Yes, in the past 6 months	South Berkeley Senior Center Yes, in the past year	South Berkeley Senior Center Yes, in the past 5 years	South Berkeley Senior Center Yes, and I would work with this organization for pay	South Berkeley Senior Center No, but I plan on using their products/services in the future
EveryOne Home - $ 15,000 proposed 2018	EveryOne Home - $ 15,000 proposed 2018 No, never	EveryOne Home - $ 15,000 proposed 2018 Yes, in the past 6 months	EveryOne Home - $ 15,000 proposed 2018 Yes, in the past year	EveryOne Home - $ 15,000 proposed 2018 Yes, in the past 5 years	EveryOne Home - $ 15,000 proposed 2018 Yes, and I would work with this organization for pay	EveryOne Home - $ 15,000 proposed 2018 No, but I plan on using their products/services in the future
Covenant House California (YEAH!) - $ 344,115 proposed 2018	Covenant House California (YEAH!) - $ 344,115 proposed 2018 No, never	Covenant House California (YEAH!) - $ 344,115 proposed 2018 Yes, in the past 6 months	Covenant House California (YEAH!) - $ 344,115 proposed 2018 Yes, in the past year	Covenant House California (YEAH!) - $ 344,115 proposed 2018 Yes, in the past 5 years	Covenant House California (YEAH!) - $ 344,115 proposed 2018 Yes, and I would work with this organization for pay	Covenant House California (YEAH!) - $ 344,115 proposed 2018 No, but I plan on using their products/services in the future
Dorothy Day House - $ 71,324 proposed 2018	Dorothy Day House - $ 71,324 proposed 2018 No, never	Dorothy Day House - $ 71,324 proposed 2018 Yes, in the past 6 months	Dorothy Day House - $ 71,324 proposed 2018 Yes, in the past year	Dorothy Day House - $ 71,324 proposed 2018 Yes, in the past 5 years	Dorothy Day House - $ 71,324 proposed 2018 Yes, and I would work with this organization for pay	Dorothy Day House - $ 71,324 proposed 2018 No, but I plan on using their products/services in the future
First They Came for the Homeless - last funded 2017, $10,000	First They Came for the Homeless - last funded 2017, $10,000 No, never	First They Came for the Homeless - last funded 2017, $10,000 Yes, in the past 6 months	First They Came for the Homeless - last funded 2017, $10,000 Yes, in the past year	First They Came for the Homeless - last funded 2017, $10,000 Yes, in the past 5 years	First They Came for the Homeless - last funded 2017, $10,000 Yes, and I would work with this organization for pay	First They Came for the Homeless - last funded 2017, $10,000 No, but I plan on using their products/services in the future
Fred Finch Youth Center/Turning Point - $ 86,655 proposed 2018	Fred Finch Youth Center/Turning Point - $ 86,655 proposed 2018 No, never	Fred Finch Youth Center/Turning Point - $ 86,655 proposed 2018 Yes, in the past 6 months	Fred Finch Youth Center/Turning Point - $ 86,655 proposed 2018 Yes, in the past year	Fred Finch Youth Center/Turning Point - $ 86,655 proposed 2018 Yes, in the past 5 years	Fred Finch Youth Center/Turning Point - $ 86,655 proposed 2018 Yes, and I would work with this organization for pay	Fred Finch Youth Center/Turning Point - $ 86,655 proposed 2018 No, but I plan on using their products/services in the future
Homeless Coordinated Assessment/Intake Project	Homeless Coordinated Assessment/Intake Project No, never	Homeless Coordinated Assessment/Intake Project Yes, in the past 6 months	Homeless Coordinated Assessment/Intake Project Yes, in the past year	Homeless Coordinated Assessment/Intake Project Yes, in the past 5 years	Homeless Coordinated Assessment/Intake Project Yes, and I would work with this organization for pay	Homeless Coordinated Assessment/Intake Project No, but I plan on using their products/services in the future
Lifelong Medical Care - $ 205,902 proposed 2018	Lifelong Medical Care - $ 205,902 proposed 2018 No, never	Lifelong Medical Care - $ 205,902 proposed 2018 Yes, in the past 6 months	Lifelong Medical Care - $ 205,902 proposed 2018 Yes, in the past year	Lifelong Medical Care - $ 205,902 proposed 2018 Yes, in the past 5 years	Lifelong Medical Care - $ 205,902 proposed 2018 Yes, and I would work with this organization for pay	Lifelong Medical Care - $ 205,902 proposed 2018 No, but I plan on using their products/services in the future
Options Recovery Services - Detox Services & Day Treatment - $ 235,841 proposed 2018	Options Recovery Services - Detox Services & Day Treatment - $ 235,841 proposed 2018 No, never	Options Recovery Services - Detox Services & Day Treatment - $ 235,841 proposed 2018 Yes, in the past 6 months	Options Recovery Services - Detox Services & Day Treatment - $ 235,841 proposed 2018 Yes, in the past year	Options Recovery Services - Detox Services & Day Treatment - $ 235,841 proposed 2018 Yes, in the past 5 years	Options Recovery Services - Detox Services & Day Treatment - $ 235,841 proposed 2018 Yes, and I would work with this organization for pay	Options Recovery Services - Detox Services & Day Treatment - $ 235,841 proposed 2018 No, but I plan on using their products/services in the future
Rubicon - last funded 2017, $ 35,266	Rubicon - last funded 2017, $ 35,266 No, never	Rubicon - last funded 2017, $ 35,266 Yes, in the past 6 months	Rubicon - last funded 2017, $ 35,266 Yes, in the past year	Rubicon - last funded 2017, $ 35,266 Yes, in the past 5 years	Rubicon - last funded 2017, $ 35,266 Yes, and I would work with this organization for pay	Rubicon - last funded 2017, $ 35,266 No, but I plan on using their products/services in the future
Telegraph Business Improvement District - Berkeley Host Program - $ 49,139 proposed 2018	Telegraph Business Improvement District - Berkeley Host Program - $ 49,139 proposed 2018 No, never	Telegraph Business Improvement District - Berkeley Host Program - $ 49,139 proposed 2018 Yes, in the past 6 months	Telegraph Business Improvement District - Berkeley Host Program - $ 49,139 proposed 2018 Yes, in the past year	Telegraph Business Improvement District - Berkeley Host Program - $ 49,139 proposed 2018 Yes, in the past 5 years	Telegraph Business Improvement District - Berkeley Host Program - $ 49,139 proposed 2018 Yes, and I would work with this organization for pay	Telegraph Business Improvement District - Berkeley Host Program - $ 49,139 proposed 2018 No, but I plan on using their products/services in the future
The Suitcase Clinic - $ 9,828 proposed 2018	The Suitcase Clinic - $ 9,828 proposed 2018 No, never	The Suitcase Clinic - $ 9,828 proposed 2018 Yes, in the past 6 months	The Suitcase Clinic - $ 9,828 proposed 2018 Yes, in the past year	The Suitcase Clinic - $ 9,828 proposed 2018 Yes, in the past 5 years	The Suitcase Clinic - $ 9,828 proposed 2018 Yes, and I would work with this organization for pay	The Suitcase Clinic - $ 9,828 proposed 2018 No, but I plan on using their products/services in the future
Toolworks, Inc. Supportive Housing - $ 47,665 proposed 2018	Toolworks, Inc. Supportive Housing - $ 47,665 proposed 2018 No, never	Toolworks, Inc. Supportive Housing - $ 47,665 proposed 2018 Yes, in the past 6 months	Toolworks, Inc. Supportive Housing - $ 47,665 proposed 2018 Yes, in the past year	Toolworks, Inc. Supportive Housing - $ 47,665 proposed 2018 Yes, in the past 5 years	Toolworks, Inc. Supportive Housing - $ 47,665 proposed 2018 Yes, and I would work with this organization for pay	Toolworks, Inc. Supportive Housing - $ 47,665 proposed 2018 No, but I plan on using their products/services in the future
United for Health - last funded 2015, $ 9,828	United for Health - last funded 2015, $ 9,828 No, never	United for Health - last funded 2015, $ 9,828 Yes, in the past 6 months	United for Health - last funded 2015, $ 9,828 Yes, in the past year	United for Health - last funded 2015, $ 9,828 Yes, in the past 5 years	United for Health - last funded 2015, $ 9,828 Yes, and I would work with this organization for pay	United for Health - last funded 2015, $ 9,828 No, but I plan on using their products/services in the future
Winter Shelter Program - last funded 2015, $ 61,000	Winter Shelter Program - last funded 2015, $ 61,000 No, never	Winter Shelter Program - last funded 2015, $ 61,000 Yes, in the past 6 months	Winter Shelter Program - last funded 2015, $ 61,000 Yes, in the past year	Winter Shelter Program - last funded 2015, $ 61,000 Yes, in the past 5 years	Winter Shelter Program - last funded 2015, $ 61,000 Yes, and I would work with this organization for pay	Winter Shelter Program - last funded 2015, $ 61,000 No, but I plan on using their products/services in the future
Women's Daytime Drop-In Center - $ 185,891 proposed 2018	Women's Daytime Drop-In Center - $ 185,891 proposed 2018 No, never	Women's Daytime Drop-In Center - $ 185,891 proposed 2018 Yes, in the past 6 months	Women's Daytime Drop-In Center - $ 185,891 proposed 2018 Yes, in the past year	Women's Daytime Drop-In Center - $ 185,891 proposed 2018 Yes, in the past 5 years	Women's Daytime Drop-In Center - $ 185,891 proposed 2018 Yes, and I would work with this organization for pay	Women's Daytime Drop-In Center - $ 185,891 proposed 2018 No, but I plan on using their products/services in the future
Youth Engagement Advocacy Housing - last funded 2016, $ 138,759	Youth Engagement Advocacy Housing - last funded 2016, $ 138,759 No, never	Youth Engagement Advocacy Housing - last funded 2016, $ 138,759 Yes, in the past 6 months	Youth Engagement Advocacy Housing - last funded 2016, $ 138,759 Yes, in the past year	Youth Engagement Advocacy Housing - last funded 2016, $ 138,759 Yes, in the past 5 years	Youth Engagement Advocacy Housing - last funded 2016, $ 138,759 Yes, and I would work with this organization for pay	Youth Engagement Advocacy Housing - last funded 2016, $ 138,759 No, but I plan on using their products/services in the future
Vehicles for Change	Vehicles for Change No, never	Vehicles for Change Yes, in the past 6 months	Vehicles for Change Yes, in the past year	Vehicles for Change Yes, in the past 5 years	Vehicles for Change Yes, and I would work with this organization for pay	Vehicles for Change No, but I plan on using their products/services in the future

Other (please specify)

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* 7. Which of the following community organizations do you support, and indicate how you currently interact or plan on interacting with these organizations in the future?

	Purchase/Receive Services or Products	Use Services or Products (Beneficiary)	Volunteer	Skills Exchange (for products/services)	Donate	Invest	Social Media (e.g. "Like" on Facebook)	I don't support this organization (please indicate why)
Food Not Bombs East Bay	Food Not Bombs East Bay Purchase/Receive Services or Products	Food Not Bombs East Bay Use Services or Products (Beneficiary)	Food Not Bombs East Bay Volunteer	Food Not Bombs East Bay Skills Exchange (for products/services)	Food Not Bombs East Bay Donate	Food Not Bombs East Bay Invest	Food Not Bombs East Bay Social Media (e.g. "Like" on Facebook)	Food Not Bombs East Bay I don't support this organization (please indicate why)
Here/There Camp	Here/There Camp Purchase/Receive Services or Products	Here/There Camp Use Services or Products (Beneficiary)	Here/There Camp Volunteer	Here/There Camp Skills Exchange (for products/services)	Here/There Camp Donate	Here/There Camp Invest	Here/There Camp Social Media (e.g. "Like" on Facebook)	Here/There Camp I don't support this organization (please indicate why)
OM (Occupy Magnolia) Camp	OM (Occupy Magnolia) Camp Purchase/Receive Services or Products	OM (Occupy Magnolia) Camp Use Services or Products (Beneficiary)	OM (Occupy Magnolia) Camp Volunteer	OM (Occupy Magnolia) Camp Skills Exchange (for products/services)	OM (Occupy Magnolia) Camp Donate	OM (Occupy Magnolia) Camp Invest	OM (Occupy Magnolia) Camp Social Media (e.g. "Like" on Facebook)	OM (Occupy Magnolia) Camp I don't support this organization (please indicate why)
Center for Independent Living	Center for Independent Living Purchase/Receive Services or Products	Center for Independent Living Use Services or Products (Beneficiary)	Center for Independent Living Volunteer	Center for Independent Living Skills Exchange (for products/services)	Center for Independent Living Donate	Center for Independent Living Invest	Center for Independent Living Social Media (e.g. "Like" on Facebook)	Center for Independent Living I don't support this organization (please indicate why)
Youth Spirit Artworks	Youth Spirit Artworks Purchase/Receive Services or Products	Youth Spirit Artworks Use Services or Products (Beneficiary)	Youth Spirit Artworks Volunteer	Youth Spirit Artworks Skills Exchange (for products/services)	Youth Spirit Artworks Donate	Youth Spirit Artworks Invest	Youth Spirit Artworks Social Media (e.g. "Like" on Facebook)	Youth Spirit Artworks I don't support this organization (please indicate why)
Night on the Streets Catholic Worker (NOSCW)	Night on the Streets Catholic Worker (NOSCW) Purchase/Receive Services or Products	Night on the Streets Catholic Worker (NOSCW) Use Services or Products (Beneficiary)	Night on the Streets Catholic Worker (NOSCW) Volunteer	Night on the Streets Catholic Worker (NOSCW) Skills Exchange (for products/services)	Night on the Streets Catholic Worker (NOSCW) Donate	Night on the Streets Catholic Worker (NOSCW) Invest	Night on the Streets Catholic Worker (NOSCW) Social Media (e.g. "Like" on Facebook)	Night on the Streets Catholic Worker (NOSCW) I don't support this organization (please indicate why)
East Bay Community Law Center	East Bay Community Law Center Purchase/Receive Services or Products	East Bay Community Law Center Use Services or Products (Beneficiary)	East Bay Community Law Center Volunteer	East Bay Community Law Center Skills Exchange (for products/services)	East Bay Community Law Center Donate	East Bay Community Law Center Invest	East Bay Community Law Center Social Media (e.g. "Like" on Facebook)	East Bay Community Law Center I don't support this organization (please indicate why)
Land Action	Land Action Purchase/Receive Services or Products	Land Action Use Services or Products (Beneficiary)	Land Action Volunteer	Land Action Skills Exchange (for products/services)	Land Action Donate	Land Action Invest	Land Action Social Media (e.g. "Like" on Facebook)	Land Action I don't support this organization (please indicate why)
Meiklejohn Civil Liberties Institute	Meiklejohn Civil Liberties Institute Purchase/Receive Services or Products	Meiklejohn Civil Liberties Institute Use Services or Products (Beneficiary)	Meiklejohn Civil Liberties Institute Volunteer	Meiklejohn Civil Liberties Institute Skills Exchange (for products/services)	Meiklejohn Civil Liberties Institute Donate	Meiklejohn Civil Liberties Institute Invest	Meiklejohn Civil Liberties Institute Social Media (e.g. "Like" on Facebook)	Meiklejohn Civil Liberties Institute I don't support this organization (please indicate why)
Alameda County Homeless Action Center	Alameda County Homeless Action Center Purchase/Receive Services or Products	Alameda County Homeless Action Center Use Services or Products (Beneficiary)	Alameda County Homeless Action Center Volunteer	Alameda County Homeless Action Center Skills Exchange (for products/services)	Alameda County Homeless Action Center Donate	Alameda County Homeless Action Center Invest	Alameda County Homeless Action Center Social Media (e.g. "Like" on Facebook)	Alameda County Homeless Action Center I don't support this organization (please indicate why)
Alameda County Network of Mental Health Clients	Alameda County Network of Mental Health Clients Purchase/Receive Services or Products	Alameda County Network of Mental Health Clients Use Services or Products (Beneficiary)	Alameda County Network of Mental Health Clients Volunteer	Alameda County Network of Mental Health Clients Skills Exchange (for products/services)	Alameda County Network of Mental Health Clients Donate	Alameda County Network of Mental Health Clients Invest	Alameda County Network of Mental Health Clients Social Media (e.g. "Like" on Facebook)	Alameda County Network of Mental Health Clients I don't support this organization (please indicate why)
Berkeley Food & Housing Project (Russel Street Supportive Housing)	Berkeley Food & Housing Project (Russel Street Supportive Housing) Purchase/Receive Services or Products	Berkeley Food & Housing Project (Russel Street Supportive Housing) Use Services or Products (Beneficiary)	Berkeley Food & Housing Project (Russel Street Supportive Housing) Volunteer	Berkeley Food & Housing Project (Russel Street Supportive Housing) Skills Exchange (for products/services)	Berkeley Food & Housing Project (Russel Street Supportive Housing) Donate	Berkeley Food & Housing Project (Russel Street Supportive Housing) Invest	Berkeley Food & Housing Project (Russel Street Supportive Housing) Social Media (e.g. "Like" on Facebook)	Berkeley Food & Housing Project (Russel Street Supportive Housing) I don't support this organization (please indicate why)
The Hub	The Hub Purchase/Receive Services or Products	The Hub Use Services or Products (Beneficiary)	The Hub Volunteer	The Hub Skills Exchange (for products/services)	The Hub Donate	The Hub Invest	The Hub Social Media (e.g. "Like" on Facebook)	The Hub I don't support this organization (please indicate why)
Bonita House	Bonita House Purchase/Receive Services or Products	Bonita House Use Services or Products (Beneficiary)	Bonita House Volunteer	Bonita House Skills Exchange (for products/services)	Bonita House Donate	Bonita House Invest	Bonita House Social Media (e.g. "Like" on Facebook)	Bonita House I don't support this organization (please indicate why)
Building Opportunities for Self Sufficiency (BOSS) (Ursula Sherman Village, Sankofa Transitional Housing)	Building Opportunities for Self Sufficiency (BOSS) (Ursula Sherman Village, Sankofa Transitional Housing) Purchase/Receive Services or Products	Building Opportunities for Self Sufficiency (BOSS) (Ursula Sherman Village, Sankofa Transitional Housing) Use Services or Products (Beneficiary)	Building Opportunities for Self Sufficiency (BOSS) (Ursula Sherman Village, Sankofa Transitional Housing) Volunteer	Building Opportunities for Self Sufficiency (BOSS) (Ursula Sherman Village, Sankofa Transitional Housing) Skills Exchange (for products/services)	Building Opportunities for Self Sufficiency (BOSS) (Ursula Sherman Village, Sankofa Transitional Housing) Donate	Building Opportunities for Self Sufficiency (BOSS) (Ursula Sherman Village, Sankofa Transitional Housing) Invest	Building Opportunities for Self Sufficiency (BOSS) (Ursula Sherman Village, Sankofa Transitional Housing) Social Media (e.g. "Like" on Facebook)	Building Opportunities for Self Sufficiency (BOSS) (Ursula Sherman Village, Sankofa Transitional Housing) I don't support this organization (please indicate why)
Covenant House California (YEAH!)	Covenant House California (YEAH!) Purchase/Receive Services or Products	Covenant House California (YEAH!) Use Services or Products (Beneficiary)	Covenant House California (YEAH!) Volunteer	Covenant House California (YEAH!) Skills Exchange (for products/services)	Covenant House California (YEAH!) Donate	Covenant House California (YEAH!) Invest	Covenant House California (YEAH!) Social Media (e.g. "Like" on Facebook)	Covenant House California (YEAH!) I don't support this organization (please indicate why)
EveryOne Home	EveryOne Home Purchase/Receive Services or Products	EveryOne Home Use Services or Products (Beneficiary)	EveryOne Home Volunteer	EveryOne Home Skills Exchange (for products/services)	EveryOne Home Donate	EveryOne Home Invest	EveryOne Home Social Media (e.g. "Like" on Facebook)	EveryOne Home I don't support this organization (please indicate why)
Dorothy Day	Dorothy Day Purchase/Receive Services or Products	Dorothy Day Use Services or Products (Beneficiary)	Dorothy Day Volunteer	Dorothy Day Skills Exchange (for products/services)	Dorothy Day Donate	Dorothy Day Invest	Dorothy Day Social Media (e.g. "Like" on Facebook)	Dorothy Day I don't support this organization (please indicate why)
Fred Finch Youth Center/Turning Point	Fred Finch Youth Center/Turning Point Purchase/Receive Services or Products	Fred Finch Youth Center/Turning Point Use Services or Products (Beneficiary)	Fred Finch Youth Center/Turning Point Volunteer	Fred Finch Youth Center/Turning Point Skills Exchange (for products/services)	Fred Finch Youth Center/Turning Point Donate	Fred Finch Youth Center/Turning Point Invest	Fred Finch Youth Center/Turning Point Social Media (e.g. "Like" on Facebook)	Fred Finch Youth Center/Turning Point I don't support this organization (please indicate why)
Lifelong Medical Care	Lifelong Medical Care Purchase/Receive Services or Products	Lifelong Medical Care Use Services or Products (Beneficiary)	Lifelong Medical Care Volunteer	Lifelong Medical Care Skills Exchange (for products/services)	Lifelong Medical Care Donate	Lifelong Medical Care Invest	Lifelong Medical Care Social Media (e.g. "Like" on Facebook)	Lifelong Medical Care I don't support this organization (please indicate why)
Options Recovery Services - Detox Services & Day Treatment	Options Recovery Services - Detox Services & Day Treatment Purchase/Receive Services or Products	Options Recovery Services - Detox Services & Day Treatment Use Services or Products (Beneficiary)	Options Recovery Services - Detox Services & Day Treatment Volunteer	Options Recovery Services - Detox Services & Day Treatment Skills Exchange (for products/services)	Options Recovery Services - Detox Services & Day Treatment Donate	Options Recovery Services - Detox Services & Day Treatment Invest	Options Recovery Services - Detox Services & Day Treatment Social Media (e.g. "Like" on Facebook)	Options Recovery Services - Detox Services & Day Treatment I don't support this organization (please indicate why)
New Bridge Foundation	New Bridge Foundation Purchase/Receive Services or Products	New Bridge Foundation Use Services or Products (Beneficiary)	New Bridge Foundation Volunteer	New Bridge Foundation Skills Exchange (for products/services)	New Bridge Foundation Donate	New Bridge Foundation Invest	New Bridge Foundation Social Media (e.g. "Like" on Facebook)	New Bridge Foundation I don't support this organization (please indicate why)
Rubicon	Rubicon Purchase/Receive Services or Products	Rubicon Use Services or Products (Beneficiary)	Rubicon Volunteer	Rubicon Skills Exchange (for products/services)	Rubicon Donate	Rubicon Invest	Rubicon Social Media (e.g. "Like" on Facebook)	Rubicon I don't support this organization (please indicate why)
Telegraph Business Improvement District - Berkeley Host Program	Telegraph Business Improvement District - Berkeley Host Program Purchase/Receive Services or Products	Telegraph Business Improvement District - Berkeley Host Program Use Services or Products (Beneficiary)	Telegraph Business Improvement District - Berkeley Host Program Volunteer	Telegraph Business Improvement District - Berkeley Host Program Skills Exchange (for products/services)	Telegraph Business Improvement District - Berkeley Host Program Donate	Telegraph Business Improvement District - Berkeley Host Program Invest	Telegraph Business Improvement District - Berkeley Host Program Social Media (e.g. "Like" on Facebook)	Telegraph Business Improvement District - Berkeley Host Program I don't support this organization (please indicate why)
The Suitcase Clinic	The Suitcase Clinic Purchase/Receive Services or Products	The Suitcase Clinic Use Services or Products (Beneficiary)	The Suitcase Clinic Volunteer	The Suitcase Clinic Skills Exchange (for products/services)	The Suitcase Clinic Donate	The Suitcase Clinic Invest	The Suitcase Clinic Social Media (e.g. "Like" on Facebook)	The Suitcase Clinic I don't support this organization (please indicate why)
Toolworks, Inc. Supportive Housing	Toolworks, Inc. Supportive Housing Purchase/Receive Services or Products	Toolworks, Inc. Supportive Housing Use Services or Products (Beneficiary)	Toolworks, Inc. Supportive Housing Volunteer	Toolworks, Inc. Supportive Housing Skills Exchange (for products/services)	Toolworks, Inc. Supportive Housing Donate	Toolworks, Inc. Supportive Housing Invest	Toolworks, Inc. Supportive Housing Social Media (e.g. "Like" on Facebook)	Toolworks, Inc. Supportive Housing I don't support this organization (please indicate why)
United for Health	United for Health Purchase/Receive Services or Products	United for Health Use Services or Products (Beneficiary)	United for Health Volunteer	United for Health Skills Exchange (for products/services)	United for Health Donate	United for Health Invest	United for Health Social Media (e.g. "Like" on Facebook)	United for Health I don't support this organization (please indicate why)
Winter Shelter Program	Winter Shelter Program Purchase/Receive Services or Products	Winter Shelter Program Use Services or Products (Beneficiary)	Winter Shelter Program Volunteer	Winter Shelter Program Skills Exchange (for products/services)	Winter Shelter Program Donate	Winter Shelter Program Invest	Winter Shelter Program Social Media (e.g. "Like" on Facebook)	Winter Shelter Program I don't support this organization (please indicate why)
Women's Daytime Drop-In Center	Women's Daytime Drop-In Center Purchase/Receive Services or Products	Women's Daytime Drop-In Center Use Services or Products (Beneficiary)	Women's Daytime Drop-In Center Volunteer	Women's Daytime Drop-In Center Skills Exchange (for products/services)	Women's Daytime Drop-In Center Donate	Women's Daytime Drop-In Center Invest	Women's Daytime Drop-In Center Social Media (e.g. "Like" on Facebook)	Women's Daytime Drop-In Center I don't support this organization (please indicate why)
Youth Engagement Advocacy Housing	Youth Engagement Advocacy Housing Purchase/Receive Services or Products	Youth Engagement Advocacy Housing Use Services or Products (Beneficiary)	Youth Engagement Advocacy Housing Volunteer	Youth Engagement Advocacy Housing Skills Exchange (for products/services)	Youth Engagement Advocacy Housing Donate	Youth Engagement Advocacy Housing Invest	Youth Engagement Advocacy Housing Social Media (e.g. "Like" on Facebook)	Youth Engagement Advocacy Housing I don't support this organization (please indicate why)
Community Education Partnership	Community Education Partnership Purchase/Receive Services or Products	Community Education Partnership Use Services or Products (Beneficiary)	Community Education Partnership Volunteer	Community Education Partnership Skills Exchange (for products/services)	Community Education Partnership Donate	Community Education Partnership Invest	Community Education Partnership Social Media (e.g. "Like" on Facebook)	Community Education Partnership I don't support this organization (please indicate why)
Resources for Community Development	Resources for Community Development Purchase/Receive Services or Products	Resources for Community Development Use Services or Products (Beneficiary)	Resources for Community Development Volunteer	Resources for Community Development Skills Exchange (for products/services)	Resources for Community Development Donate	Resources for Community Development Invest	Resources for Community Development Social Media (e.g. "Like" on Facebook)	Resources for Community Development I don't support this organization (please indicate why)
Oregon Park Senior Apartments Cooperative	Oregon Park Senior Apartments Cooperative Purchase/Receive Services or Products	Oregon Park Senior Apartments Cooperative Use Services or Products (Beneficiary)	Oregon Park Senior Apartments Cooperative Volunteer	Oregon Park Senior Apartments Cooperative Skills Exchange (for products/services)	Oregon Park Senior Apartments Cooperative Donate	Oregon Park Senior Apartments Cooperative Invest	Oregon Park Senior Apartments Cooperative Social Media (e.g. "Like" on Facebook)	Oregon Park Senior Apartments Cooperative I don't support this organization (please indicate why)
Rising Sun Energy Center	Rising Sun Energy Center Purchase/Receive Services or Products	Rising Sun Energy Center Use Services or Products (Beneficiary)	Rising Sun Energy Center Volunteer	Rising Sun Energy Center Skills Exchange (for products/services)	Rising Sun Energy Center Donate	Rising Sun Energy Center Invest	Rising Sun Energy Center Social Media (e.g. "Like" on Facebook)	Rising Sun Energy Center I don't support this organization (please indicate why)
Ohlone Herbal Center	Ohlone Herbal Center Purchase/Receive Services or Products	Ohlone Herbal Center Use Services or Products (Beneficiary)	Ohlone Herbal Center Volunteer	Ohlone Herbal Center Skills Exchange (for products/services)	Ohlone Herbal Center Donate	Ohlone Herbal Center Invest	Ohlone Herbal Center Social Media (e.g. "Like" on Facebook)	Ohlone Herbal Center I don't support this organization (please indicate why)
Camp Winnarainbow	Camp Winnarainbow Purchase/Receive Services or Products	Camp Winnarainbow Use Services or Products (Beneficiary)	Camp Winnarainbow Volunteer	Camp Winnarainbow Skills Exchange (for products/services)	Camp Winnarainbow Donate	Camp Winnarainbow Invest	Camp Winnarainbow Social Media (e.g. "Like" on Facebook)	Camp Winnarainbow I don't support this organization (please indicate why)
Rebuilding Together - East Bay	Rebuilding Together - East Bay Purchase/Receive Services or Products	Rebuilding Together - East Bay Use Services or Products (Beneficiary)	Rebuilding Together - East Bay Volunteer	Rebuilding Together - East Bay Skills Exchange (for products/services)	Rebuilding Together - East Bay Donate	Rebuilding Together - East Bay Invest	Rebuilding Together - East Bay Social Media (e.g. "Like" on Facebook)	Rebuilding Together - East Bay I don't support this organization (please indicate why)
Habitot Children's Museum	Habitot Children's Museum Purchase/Receive Services or Products	Habitot Children's Museum Use Services or Products (Beneficiary)	Habitot Children's Museum Volunteer	Habitot Children's Museum Skills Exchange (for products/services)	Habitot Children's Museum Donate	Habitot Children's Museum Invest	Habitot Children's Museum Social Media (e.g. "Like" on Facebook)	Habitot Children's Museum I don't support this organization (please indicate why)
Berkeley Community Health Project	Berkeley Community Health Project Purchase/Receive Services or Products	Berkeley Community Health Project Use Services or Products (Beneficiary)	Berkeley Community Health Project Volunteer	Berkeley Community Health Project Skills Exchange (for products/services)	Berkeley Community Health Project Donate	Berkeley Community Health Project Invest	Berkeley Community Health Project Social Media (e.g. "Like" on Facebook)	Berkeley Community Health Project I don't support this organization (please indicate why)
Teleosis Foundation	Teleosis Foundation Purchase/Receive Services or Products	Teleosis Foundation Use Services or Products (Beneficiary)	Teleosis Foundation Volunteer	Teleosis Foundation Skills Exchange (for products/services)	Teleosis Foundation Donate	Teleosis Foundation Invest	Teleosis Foundation Social Media (e.g. "Like" on Facebook)	Teleosis Foundation I don't support this organization (please indicate why)

Other (please specify)

Question Title

* 8. Which skills do you have experience with? (please indicate if/how you'd be willing to contribute your skills to the community)

Rough Carpentry

Finish Carpentry

Roofing

Plumbing

Electrical

Farming

Cooking

Food Services Management

Gardening

Web Development

Software Development

Permaculture

Mechanic

Bookkeeping/Accounting

Legal

Fundraising

Community Organizing

Other (please specify)

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* 1. Name

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* 2. Email/Phone (preferred contact method)

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* 3. Please indicate your experience with each of the following types of shelter?

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* 4. Please indicate how you support or plan to support each of the following types of shelter?

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* 5. What types of services have you received from the City of Berkeley or Alameda County (select all that apply)?

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* 6. Have you used services or products from the following government-funded institutions in the City of Berkeley or Alameda County (select all that apply)?

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* 7. Which of the following community organizations do you support, and indicate how you currently interact or plan on interacting with these organizations in the future?

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* 8. Which skills do you have experience with? (please indicate if/how you'd be willing to contribute your skills to the community)

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* 9. Can we share your answers online?