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  1. Surveys
  2. 2017
  3. March
  4. H
  5. Homelessness
0%
Questions marked with a * are required Exit Survey
 
How satisfied do you feel with the following parts of your life?
Extremely Dissatisfied Not Satisfied Neutral Satisfied Extremely Satisfied
* Friendship groups
* Family support
* Achievements in life
* Mental health
* Physical health
 
 
 
How often do you attend any religious services/celebrations?
 
Never
 
Rarely
 
Sometimes
 
Regularly
 
 
 
* Have you used any of the following services in the past 12 months?
 
Free health clinic
 
Free meal trucks
 
Mental health services
 
Drug and alcohol counselling
 
Legal services
 
Employment assist

 
 
How would you rate your accessibility to these services? (1 = lowest, 10 = highest)
* Free health clinic
-
* Free meal trucks
-
* Mental health services
-
* Drug and Alcohol counselling
-
* Legal services
-
* Employment assist
-
 
 
If access to these services were easier, how likely would you be to use them?
Not likely Likely Very likely
* Free health clinic
* Free meal trucks
* Mental health services
* Drug and Alcohol counselling
* Legal services
* Employment assist
 
 
 
* Do you feel as if your alcohol/drug use has increased since your situation has changed? 
 
Yes
 
No
 
 
How often do you use these recreational drugs?
Never Rarely Sometimes Regularly
* Alcohol
* Marijuana
* Ecstasy
* Psychedelics
* Crystal Meth
* Heroin
* Prescription medication (not for intended use)
* Other
 
 
 
* Have you ever been diagnosed with any of these mental health conditions?
 
Depression
 
Anxiety
 
Bipolar disorder
 
Schizophrenia
 
Multiple personality disorder
 
None
 
Other
 

 
 
 
* What is your current living situation?
 
Staying with friends
 
Staying in a homeless shelter
 
Living on the streets with others
 
Living on the streets alone
 
Other
 

 
 
 
* What are the circumstances that led to your current living situation?