Emergency Shelter Emergency Shelter Emergency Shelter Emergency Shelter Emergency Shelter Are you currently Bus Passes Bus Passes Bus Passes Bus Passes Bus Passes Transitional Housing Transitional Housing Transitional Housing Transitional Housing Transitional Housing accessing any of the Mental Health Mental Health Mental Health Mental Health Mental Health Alcohol/Drug Alcohol/Drug Alcohol/Drug Alcohol/Drug Alcohol/Drug following services in Counseling Counseling Counseling Counseling Counseling the community? Employment Employment Employment Employment Employment Drop-in/Day Shelter Drop-in/Day Shelter Drop-in/Day Shelter Drop-in/Day Shelter Drop-in/Day Shelter [Mark all that apply] Free Meals Free Free Meals Free Meals Free Meals Legal Assistance Legal Assistance Legal Assistance Legal Assistance Legal Assistance Immigration Immigration Immigration Immigration Immigration Health Services Health Services Health Services Health Services Health Services Other: Other: Other: Other: Other: Not Using Services Not Using Services Not Using Services Not Using Services Not Using Services ⃝ ⃝ ⃝ ⃝ ⃝ Doesn’t Know Doesn’t Know Know Know Doesn’t Know ⃝ ⃝ ⃝ ⃝ ⃝ Refused Refused Refused Refused Refused ⃝ ⃝ ⃝ ⃝ ⃝ Person 2 Person 3 Person 4 Person 5 Head of Household Rental Subsidy Rental Subsidy Rental Subsidy Rental Subsidy Rental Subsidy What services would Legal Assistance Legal Assistance Legal Assistance Legal Assistance Assistance Deposit Money Deposit Money Deposit Deposit Money Deposit Money assist you in Utility Costs Utility Costs Utility Costs Utility Costs Utility Costs Employment Employment Employment Employment Employment securing stable services services services services services housing? Family Support Help Family Support Help Family Support Help Family Support Help Family Support Help Other: Other: Other: [Mark all that apply] Doesn’t Know Doesn’t Know Doesn’t Know Doesn’t Know Doesn’t Know ⃝ ⃝ ⃝ ⃝ ⃝ Refused Refused Refused Refused Refused ⃝ ⃝ ⃝ ⃝ ⃝ Thank you for taking the survey! [Subway cards should ONLY be given to those that are interviewed in person.]
Are you currently accessing any of the following services in the community? [Mark all that apply] Emergency Shelter Bus Passes Transitional Housing Mental Health Alcohol/Drug Counseling Employment Drop-in/Day Shelter Free Meals Legal Assistance Immigration Health Services Other: ⃝ Not Using Services ⃝ Doesn’t Know ⃝ Refused Emergency Shelter Bus Passes Transitional Housing Mental Health Alcohol/Drug Counseling Employment Drop-in/Day Shelter Free Legal Assistance Immigration Health Services Other: ⃝ Not Using Services ⃝ Doesn’t Know ⃝ Refused Emergency Shelter Bus Passes Transitional Housing Mental Health Alcohol/Drug Counseling Employment Drop-in/Day Shelter Free Meals Legal Assistance Immigration Health Services Other: ⃝ Not Using Services ⃝ Know ⃝ Refused Emergency Shelter Bus Passes Transitional Housing Mental Health Alcohol/Drug Counseling Employment Drop-in/Day Shelter Free Meals Legal Assistance Immigration Health Services Other: ⃝ Not Using Services ⃝ Know ⃝ Refused Emergency Shelter Bus Passes Transitional Housing Mental Health Alcohol/Drug Counseling Employment Drop-in/Day Shelter Free Meals Legal Assistance Immigration Health Services Other: ⃝ Not Using Services ⃝ Doesn’t Know ⃝ Refused Head of Household Person 2 Person 3 Person 4 Person 5 What services would assist you in securing stable housing? [Mark all that apply] Rental Subsidy Legal Assistance Deposit Money Utility Costs Employment services Family Support Help Other: ⃝ Doesn’t Know ⃝ Refused Rental Subsidy Legal Assistance Deposit Money Utility Costs Employment services Family Support Help ⃝ Doesn’t Know ⃝ Refused Rental Subsidy Legal Assistance Deposit Utility Costs Employment services Family Support Help Other: ⃝ Doesn’t Know ⃝ Refused Rental Subsidy Legal Assistance Deposit Money Utility Costs Employment services Family Support Help Other: ⃝ Doesn’t Know ⃝ Refused Rental Subsidy Assistance Deposit Money Utility Costs Employment services Family Support Help ⃝ Doesn’t Know ⃝ Refused Thank you for taking the survey! [Subway cards should ONLY be given to those that are interviewed in person.]
2018-Working-Youth-Survey-1.docx