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You are invited to participate in a survey of the SOAR Housing First program at Health Care for the Homeless.  The purpose of this survey is to gain your feedback about how you view the services you've received and whether they have helped you.  While it is important for us to learn your opinions, completing this survey is completely voluntary.  If you decide not to complete this survey, this will not affect your services in any way.

Thank you very much for your time.
 
 
 
Please answer the following questions about yourself.


Name (optional)______________________________________
 
 
 
I am age:
 
18-29
 
30-49
 
50-65
 
65 or older
 
 
 
I identify my gender as:
 
Female
 
Male
 
Transgender female
 
Transgender male
 
Something else ____________________
 
Prefer not to identify
 
 
 
I identify my race as:
 
American Indian
 
Asian/Pacific Islander
 
Black/African American
 
White
 
Hispanic
 
 
 
How long have you been housed through the SOAR Housing First program at HCH?
 
1-3 months
 
3-6 months
 
6-12 months
 
1-2 years
 
2-5 years
 
More than 5 years
 
 
 
In the past, I have had housing through one of the following programs:
 
Section 8
 
HOPWA
 
Public Housing
 
Another housing program ________________
 
N/A
 
 
The following questions are about your interactions with staff.
Strongly disagree Somewhat disagree Slightly disagree Neither agree nor disagree Slightly agree Somewhat agree Strongly agree
I feel that staff treat me with respect
Staff listen to my concerns
I am happy with the amount of home visits I receive
I am happy with the amount of office visits I receive
Staff usually return my phone calls within 24 hours
Staff make me feel welcomed
I feel free to be honest with staff about my needs and struggles
 
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