Southwestern Community Action Council, Inc. SSVF Survey Question Title * 1. What county do you live in? Cabell Jackson Lincoln Mason Putnam Wayne Wirt Wood How many people currently reside in your household? OK Question Title * 2. Are you currently enrolled in the VA Healthcare system? Yes No OK Question Title * 3. How would you rate the quality of the services you have received from this SSVF provider? Strongly Agree Agree No Opinion Disagree Strongly Disagree Strongly Agree Agree No Opinion Disagree Strongly Disagree OK Question Title * 4. If another Veteran or friend were in need of similar help, would you recommend this SSVF provider to him/her? Strongly Agree Agree No Opinion Disagree Strongly Disagree Strongly Agree Agree No Opinion Disagree Strongly Disagree OK Question Title * 5. How satisfied are you with the services you have received from this supportive services provider? Strongly Agree Agree No Opinion Disagree Strongly Disagree Strongly Agree Agree No Opinion Disagree Strongly Disagree OK Question Title * 6. If you needed help again and had a choice of where to go at no cost to you, would you return to this SSVF provider? Strongly Agree Agree No Opinion Disagree Strongly Disagree Strongly Agree Agree No Opinion Disagree Strongly Disagree OK Question Title * 7. Did the SSVF provider involve you in the creation of an individualized housing stabilization plan? Yes No If you answered yes, was this housing plan a good fit for your needs? OK Question Title * 8. Is there any other feedback about the SSVF provider or the program that you would like to provide? OK DONE