Metro Denver OneHome VI-SPDAT Survey (INDIVIDUALS)

We are here today to talk to you about your housing and service needs. If you give us permission, we will ask you some questions about your health and housing for about 10 minutes. Some of the questions we ask might make you feel uncomfortable or be upsetting. If you feel uncomfortable or upset during the interview, you may ask the interviewer to take a break or to skip any of the questions. At any time you can request that your information be removed from the database. No one will be upset or angry if you decide not to be interviewed today, but this will be required if you'd like to be considered for this permanent housing opportunity. This information will not be used for any other purpose, and it will benefit you to be as honest as possible, especially since you will need to verify some of these answers later.

If you'd like to proceed, we will need your consent to use and share the following responses for that purpose.

****PLEASE MAKE SURE CLIENT FILLS OUT CONSENT/RELEASE BEFORE PROCEEDING****

****IF CLIENT DOES NOT FEEL COMFORTABLE ANSWERING A QUESTION, PLEASE TYPE IN "REFUSED" IN FIELD****

    GENERAL INFORMATION (INTERVIEWER)

    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

    GENERAL INFORMATION (CLIENT)

    This is a required question
    This is a required question