Homeless Housing Survey

For each question, please select the option or fill in the blank that describes your situation or opinion. Do not select more than one option unless invited to do so. To keep the survey anonymous, please do not identify yourself.

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* 1. What is your age group?

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* 2. What is your gender

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* 3. Do you have children?

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* 4. Are you employed?

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* 5. Are you in treatment?

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* 6. Do you currently have housing?

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* 7. How important is housing to your recovery?

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* 8. Describe what benefits housing has towards your recovery

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* 9. How difficult was it to find housing?

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* 10. Describe what difficulties you have had in finding housing

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* 11. How do you feel about your current housing situation?

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