Lava Mae Replication Survey
Lava Mae is working to turn our model into an A-Z toolkit to help communities outside of San Francisco replicate our service. We invite anyone interested in replication to participate in this survey, which will help us map out interest and connect local resources.

Thanks for your interest and support!

First Name
Your answer
Last Name
Your answer
Email address
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Phone number
Your answer
City
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State or Province
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Country
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Zip code
Your answer
Website
Your answer
Are you interested in:
Required
Do you represent an organization?
If yes, please list your organization/mission and how you'd like to partner with Lava Mae.
Your answer
Are you working independently?
If yes please list any skills or services you'd like to offer.
Your answer
How much time can you dedicate towards this effort?
Your answer
What do you forsee as primary funding sources?
Your answer
What experience do you have with entrepreneurship?
Your answer
What experience do you have with homelessness?
Your answer
What are some other local organizations or individuals that support your homeless community?
Your answer
Tell us about the need in your community: # of people experiencing homelessness? # of showers available? Are there any similar organizations?
Your answer
Are you interested in connecting with others who have reached out from your community?
Why are you interested in bringing a service like Lava Mae to your community?
Your answer
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