This free survey is powered by
  1. Surveys
  2. 2013
  3. October
  4. P
  5. Public Survey
0%
Exit Survey
 
 
Hello:
You are invited to participate in our survey for Brand New Day. Brand New Day is a new organization in Charlotte NC, dedicated to assisting individuals by redirecting and motivating them with resources and opportunities for self betterment.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate.

Thank you very much for your time and support.
 
 
 
 
Shelter Name
   
 
 
 
What is your age?
 
18-24
 
25-33
 
34-40
 
41-47
 
47+
 
 
 
What is your gender?
 
Male
 
Female
 
 
 
What is your ethnicity?
 
White
 
Black
 
Hispanic
 
Indian
 
Other
 
 
 
What is your marital status
 
Married
 
Divorced
 
Widowed
 
Single
 
 
 
Do you have children with you?
 
Yes
 
No
 
 
 
If the service is available to you which would you utilize: (check all that apply)
 
Financial Counseling
 
Housing Counseling
 
Record Clearing
 
Job Placement
 
GED Testing
 
Career Training
 
 
 
Do you have any of the following situations?
 
Bankruptcy
 
Foreclosure/Eviction
 
Criminal Record
 
 
 
How long have you been in the current situation? (optional)
   
How did you get in this situation? (optional)