Homeless as defined by HUD (all cases)
HUD Homeless: stayed at sheltered place
HUD Homeless: stayed at unsheltered place
HUD Homeless: chronically homeless
HUD Homeless: mentally ill
HUD Homeless: substance abuser
HUD Homeless: both mentally ill and substance abuser
HUD Homeless: domestic abuse victim
Where are you sleeping or where did you sleep on Tuesday, January 29th?
Where stayed in the last 30 days
How long have you been in this community or area?
Please indicate whether you are alone or with family
Are you or anyone else with you pregnant?
If with family members, please provide their ages:
If with school-aged children, are they currently enrolled in school?
Did you serve in the military?
What level of eduction do you have?
Do you feel you have a disabling condition?
Prior hospitalization for a mental health issue?
Why did you leave your last place of residence (Mark all that apply?)
How many times have you been in homeless in the past 3 years?
How long have you been homeless (this time)?
Do you have any source of income (check all that apply)?
Do you receive SNAPS (food stamps)?
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