Brain Injury Housing Needs Survey
The information gathered from this questionnaire will be used by the Family Advocates for Brain Injury Survivors to advocate for affordable, safe, and permanent housing with supports for Survivors of Brain Injury in BC. Please answer as best as you can. There is a comment section at the bottom to add additional information. All responses are anonymous and emails will not be collected.
From the Family Advocates for Brain Injury Survivors
Which demographic best describes you? *
Which age best describes you or the person you are answering for? *
What health authority does the survivor reside in? *
Please indicate any disabilities or significant health conditions AFTER being diagnosed (Mark all that apply): *
Required
Where does the survivor currently live? *
Where does the survivor prefer to live? *
What are the barriers for you or the person you are answering for to living where they choose? *
What type of supports would be the most helpful? (Mark all that apply) *
Required
Services for Substance Use Disorder *
Mental Health Counselling *
Respite care for the primary caregiver to have temporary relief as the main support person *
Community Supports - Are you connected to a Brain Injury Association? *
What else would you like us to know about you or the person you are answering for?
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