COMMUNITY SURVEY

We want to know what services homeless people need from the people who really understand homelessness - the Homeless.
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    Must be a valid email address
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    Alcohol / Substance Abuse services
    Childcare
    Clothing, Basic Essentials 
    Computer / Internet Access
    Counseling / Mental Health Services
    Credit Repair / Establish Credit
    Dental / Health Care
    Educational Services / Job Training
    Emergency / Transitional Shelter
    Employment Assistance 
    Finding what benefits are available, eligibility and applications
    Help finding permanent housing
    Help with 1st/last mo or Security Deposit 
    Laundry / Showers
    Legal Assistance
    Mailing Address 
    One Time Rent or Mortgage assistance
    Phone Calls / Voice Messages 
    Safe Place for Day Use
    SNAP - Food Stamps 
    TANF - Temporary Assistance for Needy Families
    Transportation / Bus Passes
    Please enter one response per row
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question