Senior Homelessness Survey

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Name of your agency (optional):

What type of agency are you from: *

Emergency Shelter

Street Outreach

Domestic Violence Shelter

Transitional Housing

Permanent Housing

Drop-in Center

Other:

1. Have you noticed any change in the numbers of seniors who have been coming to your shelter or needing to use your services? *

More seniors

About the same amount of seniors

Less seniors

Comments:

2. Homeless seniors often have health and/or mobility issues that younger homeless people do not. Seniors may be unable to use bunk beds, may require special supplies or equipment, need medications refrigerated, etc. Have you experienced any of these issues in your facility? *

Yes

Other:

If yes, please describe:

Comments:

3. Do you believe that your facility is properly equipped to handle an increasing senior homeless population? *

Yes

Other:

If no, what would you need?

Comments:

4. Among the general homeless population, case managers usually focus on helping to secure employment, child care, and other services designed to promote self-sufficiency. However, for many seniors, the objective is often to help them find a safe and comfortable place to live out their lives. This may require a different case management approach. Does your agency currently have the capacity to expand your case management to accommodate the unique needs of seniors? *

Yes

Maybe

Other:

Comments:

Thank you!

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