This survey should be completed for each homeless individual residing in Emergency Shelter or Transitional Housing, in Yolo County, on the night of January 22, 2019. All questions are required, unless written instructions state otherwise. 

Start all surveys by introducing yourself:
"Hello, my name is [FIRST NAME], and I am conducting a brief housing survey. The survey will only take a few moments, is confidential, and will help us advocate for more resources. May I ask you a few questions about your housing and service needs?"

If the individual declines, complete survey based on known information from project enrollment information or case notes. 

If the individual accepts, CONTINUE SURVEY, asking all questions, unless written instructions state otherwise.

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* 1. AGENCY

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* 2. LOCATION

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* 3. PROGRAM

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* 4. PROGRAM TYPE

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* 5. Have you already taken this survey in the last few days?

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* 6. What are your initials, birth month, and birth year?

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* 7. Are you and everyone in your household under age 25?

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* 8. Are you and everyone in your household under age 18?

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* 9. How many people live with you (including you)? [THE ANSWERS IN B SHOULD TOTAL THE NUMBER OF PERSONS IN A]

You must complete one of the following pages for each person in the household.

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