Social Support Inventory

How long have you been homeless?____________________________________

How did you become homeless?_______________________________________

Do you have income? If so, how much?__________________________________

Where does your income come from?___________________________________

Are your parents alive?_______________________________________________

If yes, what is your relationship to them?_________________________________

Do you have other relatives that are alive?________________________________

Do you have a relationship with any relatives that are alive?__________________

If so, who? Where?__________________________________________________

Do you have any friends that you have been in touch with in the last 3 years?____

If so, who? Where?__________________________________________________

Of your friends, who has supported you in the past?________________________

(Rough Draft)

Prepared by Evan @ The Free Guide

evan@thefreeguide.org