Definition of Unstable Housing:  Difficulty paying rent, spending a major portion of the household income on housing, having frequent moves, living in overcrowded conditions, or doubling up with friends and relatives.

Purpose of the Study:
To understand how we can improve support and services for your housing needs in order to increase community's wellbeing.

Potential Risks:
We are asking you to share personal information. If you feel at all uncomfortable, you are free to skip questions or stop the survey at any point.

Procedure:
You will be asked to complete a survey about your current and past living situations, employment status, and citizenship / immigration status. You will also be asked your age, sex, and identity.

Questions are multiple choice. The Survey should take about 6-10 minutes to complete.

Confidentiality and Protection of Data
This survey is anonymous and your name or any other identifying information will not be used.

Right to Withdraw
Your participation is voluntary and you are free to skip questions you do not want to answer.
You can stop at any time.

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* 1. Have you already taken this survey in November 2018?

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* 2. Are you willing  to participate in this survey?

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* 3. Unique Identifier: Example John Smith, born 14 November 1960
JOSM1560

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* 4. I identify as:

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* 5. I am:

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* 6. How long have you lived within this community?

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* 7. Do you consider your housing situation to be unstable / feel you could easily lose your housing?

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* 8. Where did you live before you moved to this community?

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* 9. How many times have you moved in the past year?

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* 10. If you have moved in the past year, where was it from?

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* 11. Why do you feel your housing situation is unstable / you could easily lose it? (Check all that apply)

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* 12. If you answered "JOB LOSS" to Question 11, please check what sector you had worked in.

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* 13. What is the main reason for being homeless or at risk of losing your home?

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* 14. Are you or anyone in your household pregnant?

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* 15. Which family members are staying with you?

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* 16. How many family members are staying with you?

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* 17. What is the gender (s) and age (s) of the child (ren) who are staying with you?

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* 18. Children age groups:

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* 19. Where were you staying LAST week?

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* 20. How long have you stayed in last week's living arrangement?

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* 21. Will LAST  week's living arrangement be the same for THIS week?

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* 22. Where are you or may you be staying NEXT week?

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* 23. Were you born in Canada?

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* 24. If you were not born in Canada, did you come to Canada as an immigrant or refugee?

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* 25. What is your immigration status?

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* 26. How long have you been in Canada?

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* 27. Have you ever served in the Canadian Military or any Emergency Services?

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* 28. What areas of support are you seeking?  (check all that apply)

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* 29. Are you currently employed?

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* 30. What is your employment type?

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* 31. What is your employment status and sector?

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* 32. What are your sources of income?  (check all that apply)

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* 33. Knowing the information you have shared, do we have your consent to use this information?

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