LARRP Housing Survey

The LARRP Housing Committee is hoping to collect information to better understand all housing resources available throughout LA County for men and women returning home.

This Survey should take no longer than five minutes to complete and will close on September 15, 2017.  

Thank you in advance for taking time to complete this brief survey. We look forward to sharing the survey results with you in October 2017.

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* 1. Agency Name

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* 2. Agency Program Site Street Address

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* 3. Contact Information

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* 4. Which SPA does your agency provide services. Please select All that apply.

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* 5. What services does your agency DIRECTLY provide?  Please select all that apply.

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* 6. How does your agency accept client referrals? Please select all that apply.

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* 7. Does your agency provide Case Management  services?

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* 8. Please select all Case Management services  that your agency provides.

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* 9. Does your agency provide Permanent Housing? If yes, please select all that apply.

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* 10. Does your agency provide Transitional Housing? If yes, please select all that apply.

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* 11. What approximate time limits are there on the temporary housing your agency provides?

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* 12. Does your program place any of the following requirements on individuals to enroll or maintain temporary housing at your agency? If yes, please select all that apply

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* 13. Does your agency provide Sober Living/Alcohol and Drug free Living  Housing? If yes, please select ll that apply.

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* 14. Do you provide shelter or crisis housing? If yes, please select all that apply.

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* 15. Please indicate all populations your agency serves.

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* 16. If you are not a current housing provider, are you interested in becoming one?

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