Supportive Service Providers housing survey

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* 3. What population do you serve?

Veterans

Mental Health

Physical Disability

Domestic/Sexual Violence

Low Income

Families

Other (please specify)

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* 4. What services do you offer?

Transitional housing

Crisis beds

Service coordination

Case management

Shelter

Supportive advocacy

Treatment beds

Options counseling

Other (please specify)

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* 5. Why are people being evicted?

	Not an issue	Minor issue	Moderate issue	Severe issue
Damage to property	Damage to property Not an issue	Damage to property Minor issue	Damage to property Moderate issue	Damage to property Severe issue
Not paying rent	Not paying rent Not an issue	Not paying rent Minor issue	Not paying rent Moderate issue	Not paying rent Severe issue
Drugs and/or alcohol	Drugs and/or alcohol Not an issue	Drugs and/or alcohol Minor issue	Drugs and/or alcohol Moderate issue	Drugs and/or alcohol Severe issue
Fighting in home	Fighting in home Not an issue	Fighting in home Minor issue	Fighting in home Moderate issue	Fighting in home Severe issue
Fighting with neighbors	Fighting with neighbors Not an issue	Fighting with neighbors Minor issue	Fighting with neighbors Moderate issue	Fighting with neighbors Severe issue
Criminal Activity	Criminal Activity Not an issue	Criminal Activity Minor issue	Criminal Activity Moderate issue	Criminal Activity Severe issue
Other	Other Not an issue	Other Minor issue	Other Moderate issue	Other Severe issue

Other (please specify)

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* 6. Once people move into permanent housing what is needed to sustain them?

	Least needed		Somewhat Needed		Most needed
Access to Transportation	Access to Transportation Least needed	Access to Transportation	Access to Transportation Somewhat Needed	Access to Transportation	Access to Transportation Most needed
Physical accessibility	Physical accessibility Least needed	Physical accessibility	Physical accessibility Somewhat Needed	Physical accessibility	Physical accessibility Most needed
Affordable rent	Affordable rent Least needed	Affordable rent	Affordable rent Somewhat Needed	Affordable rent	Affordable rent Most needed
Credit counseling	Credit counseling Least needed	Credit counseling	Credit counseling Somewhat Needed	Credit counseling	Credit counseling Most needed
Landlord references	Landlord references Least needed	Landlord references	Landlord references Somewhat Needed	Landlord references	Landlord references Most needed
Mental health counseling/treatment	Mental health counseling/treatment Least needed	Mental health counseling/treatment	Mental health counseling/treatment Somewhat Needed	Mental health counseling/treatment	Mental health counseling/treatment Most needed
Domestic violence services	Domestic violence services Least needed	Domestic violence services	Domestic violence services Somewhat Needed	Domestic violence services	Domestic violence services Most needed
Financial assistance	Financial assistance Least needed	Financial assistance	Financial assistance Somewhat Needed	Financial assistance	Financial assistance Most needed
Affordable/accessible childcare	Affordable/accessible childcare Least needed	Affordable/accessible childcare	Affordable/accessible childcare Somewhat Needed	Affordable/accessible childcare	Affordable/accessible childcare Most needed
Access to supportive services	Access to supportive services Least needed	Access to supportive services	Access to supportive services Somewhat Needed	Access to supportive services	Access to supportive services Most needed
Employment	Employment Least needed	Employment	Employment Somewhat Needed	Employment	Employment Most needed
Assistance with criminal history	Assistance with criminal history Least needed	Assistance with criminal history	Assistance with criminal history Somewhat Needed	Assistance with criminal history	Assistance with criminal history Most needed
Alcohol or drug treatment	Alcohol or drug treatment Least needed	Alcohol or drug treatment	Alcohol or drug treatment Somewhat Needed	Alcohol or drug treatment	Alcohol or drug treatment Most needed
Fair housing supports	Fair housing supports Least needed	Fair housing supports	Fair housing supports Somewhat Needed	Fair housing supports	Fair housing supports Most needed
Other	Other Least needed	Other	Other Somewhat Needed	Other	Other Most needed

Other (please specify)

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* 7. If you had unlimited resources, what programing or supports would you like to see in your community to help people sustain permanent housing? (Dream big, be creative!)

Supportive Service Providers housing survey

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* 1. Agency/Company

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* 2. What county do you serve:

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* 3. What population do you serve?

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* 4. What services do you offer?

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* 5. Why are people being evicted?

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* 6. Once people move into permanent housing what is needed to sustain them?

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* 7. If you had unlimited resources, what programing or supports would you like to see in your community to help people sustain permanent housing? (Dream big, be creative!)