* 1. What is your age group?

* 2. Are you a student at Florence Crittenton?

* 3. Do you have stable and safe housing?

* 4. Thinking about your current living situation, do any of these apply? (Select as many as are true for you).

* 5. Who do you live with now? (Select one answer)

* 6. For this year, what would be the best living situation for you?

* 7. If you wanted to move, what type of housing would be best for you and your child?

* 8. In the past, have you ever lived in any of these situations? (Select as many as are true for you).

* 9. What is the main reason that you no longer live in that situation? SKIP to #8 IF ANSWERED “none in the past” for #6:

* 10. Have you ever been denied housing because you have a child?

* 11. Have you ever been denied housing because you wanted to live with your partner or your baby's parent?

* 12. If you wanted to leave the place you are living, do you feel like you know how to access housing options?

* 13. If you needed a place to live, would you stay with a family not related to you, if you could bring your child?

* 14. If your family needed a place to live, would you and your family stay together with another family not related to you?

* 15. Are there any other challenges you have faced in finding an ideal living situation?

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