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  2. 2014
  3. February
  4. H
  5. HUB Survey
0%
Exit Survey
 
 
Gender
 
Male
 
Female
 
 
 
Ethnicity?
 
 American Indian or Alaskan Native
 
 Asian/Pacific Islander
 
 Black or African-American
 
 Hispanic or Latino
 
 White
 
 
Other
 
 
 
 
Age
 
 18-21
 
 22-29
 
 30-39
 
 40-49
 
 50-59
 
 60-69
 
 70+
 
 
 
Where were you born?
   
 
 
 
In what city and state did you FIRST become homeless?
   
 
 
 
Where did you stay last night?
 
 Emergency Shelter
 
 Hospital
 
 Transitional housing for the homeless
 
 Permanent housing for the homeless
 
 Don’t Know
 
 Jail, prison, detention facility
 
 Psychiatric facility
 
 Substance Abuse treatment facility
 
 Rented room, apartment, or house
 
 Owned apartment or house
 
 Self paid motel/hotel
 
 Stayed with family or friends
 
 Place not meant for habitation (car, street, abandoned building)
 
 Refused
 
Other
 
 
 
 
How long have you CURRENTLY been homeless?
 
 Less than 1 month
 
 1 to 3 months
 
 3 to 6 months
 
 6 to 12 months
 
 1 to 2 years
 
 2 to 3 years
 
 More than 3 years
 
 
 
Approximately when did you FIRST become homeless?
 
 Less than 1 month
 
 1 to 3 months
 
 3 to 6 months
 
 6 to 12 months
 
 1 to 2 years
 
 2 to 3 years
 
 More than 3 years
 
 
 
Was there a time when, during this homeless period, you were not homeless?
 
Yes
 
No
 
 
 
If yes, where did you live when you were not homeless?