Demonstration Survey: 2018 Unsheltered Point-in-Time Count
DEMONSTRATION PURPOSES ONLY. NOT TO BE USED IN THE NIGHT OF THE PIT.

This survey is for unsheltered persons on the night of January 24th, 2018. Please read questions carefully. Note that you will have the opportunity to edit your responses at the end of the survey, if necessary.

Location: County *
Your answer
Team Name/Number
Your answer
Surveyor Name *
Your answer
Location: Specific *
Use street names, landmarks, park names, bridge names, etc. This is used for de-duplication of survey results.
Your answer
Is this the first time you (or your team) are filling out a survey with this individual/family during this Point in Time? *
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