Get Sheltered Survey Form 2017 Point In Time Homeless Count

This guide will assist you in completing the Sheltered Survey Form for the 2017 Point In Time Homeless Count. By following the steps outlined below, you will ensure that all necessary information is accurately entered, contributing to the important efforts to understand and address homelessness.

Follow the steps to effectively fill out the form.

1. Press the ‘Get Form’ button to access the Sheltered Survey Form.
2. Begin filling out the form by entering the agency name and program details in the designated fields.
3. Complete the participant consent question at the start. If the participant agrees to take part, continue to question #2. If they decline, skip to question #4 while using your discretion to answer as needed.
4. Record the respondent's date of birth. If they are unsure, estimate their age grouping.
5. Accept responses to the gender identification question. Allow the participant to select how they identify.
6. Document the respondent's ethnicity by selecting from the provided options.
7. Gather the relevant racial identification from the participant by allowing multiple selections.
8. Determine if this is the first experience of homelessness for the respondent and record their response.
9. Ask about the duration of the current homelessness, ensuring to specify time spent in shelters or on the streets.
10. Record how many separate occasions the respondent stayed in shelters or on the streets in the last three years.
11. Inquire about their total time spent in shelters or on the streets during those occasions.
12. Ask the participant about their military service history and record their response.
13. Identify whether the respondent has any substance abuse issues, chronic health conditions, mental health problems, physical disabilities, or developmental disabilities, recording each as necessary.
14. If the participant has family members with them, collect their details in the additional fields, ensuring to provide names and dates of birth as needed.
15. After completing the form, review the entries for accuracy before saving or downloading the final document to share as needed.

Start completing the Sheltered Survey Form online today to contribute to the initiative against homelessness.