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Survey about Homelessness

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
1

How long have you been homeless?

Please select the option that best represents the duration of your homelessness.
2

Rate the availability of shelter facilities in your area.

Rate the availability on a scale of 1 to 10, with 1 being very poor and 10 being excellent.
3

What are the main factors that contribute to homelessness in your opinion?

Please provide your insights on the factors leading to homelessness.
4

Have you received any assistance in finding stable housing?

Please select yes or no.
5

Rate the support services provided by shelters in terms of addressing your needs.

Rate the services on a scale of 1 to 10, with 1 being very poor and 10 being excellent.
6

What are the biggest challenges you face while being homeless?

Please describe the major difficulties you encounter while experiencing homelessness.
7

Do you have access to healthcare services as a homeless individual?

Please select yes or no.
8

Rate the overall safety of the environment where you reside as a homeless individual.

Rate the safety on a scale of 1 to 10, with 1 being very unsafe and 10 being very safe.
9

What support do you think would be most beneficial to help you out of homelessness?

Please share your thoughts on the support that would be most effective in your situation.
10

Are you currently employed or seeking employment?

Please select yes or no.