3. In relationship
to the causes of homelessness, please indicate which issue is the greatest
cause of homelessness for men (please select one).
Type of Job
Money Management
Medical Condition
Other:
4. In relationship to the causes of homelessness,
please indicate which issue is the greatest cause of homelessness for
women (please select one).
Type of Job
Money Management
Medical Condition
Other:
5. In relationship to the causes of homelessness,
please indicate which issue is the greatest cause of homelessness for
children (please select one).
Other:
6. In relationship to the causes of homelessness,
please indicate which issue is the greatest cause of homelessness for
youth (please select one).
Other:
7. With respect to the services need to end
homelessness, which services do you believe are effective in ending a
man's homelessness (please rank).
Education Opportunities
Affordable Housing
Medical Treatment
8. What other types of services
are needed to help end a man's homelessness ?
9. With respect to the services need to end
homelessness, which services do you believe are effective in ending a
woman's homelessness (please rank).
Education Opportunities
Affordable Housing
Medical Treatment
10. What other types
of services are needed to help end a woman's homelessness ?
11. With respect to the funding
of services for the homeless, without respect to a given agency but looking
at funding overall, how adequately are these services funded (select only
one)?
12. With respect to the agencies
that provide services for the homeless, without respect to a given agency
but looking at services overall, how well do you feel these agencies are
providing these services (select only one)?
13. With respect to the number
of agencies providing these services, indicate how you feel about the
number of agencies that are providing services to the homeless (select
only one)?
14. With respect to the agencies
providing services for the homeless, indicate which agencies you are aware
of that are providing these services (select as many as appropriate).
Other:
15. With respect
to the InnVision Georgia Travis Center, which segment of the homeless
population is served by this facility (check all that apply)?
16. With respect to the number
of years InnVision has been providing services to the homeless, please
estimate how many years InnVision has been a non-profit organization (please
select one):
17. With respect
to volunteering your services, in the past 5 years have you performed
volunteer work at an organization providing services to the homeless?
If yes, name(s)
of organization(s):
18. With respect to volunteering
your services, in the past 5 years how many times have you volunteered
your services to an organization providing services to the homeless?
19. With respect to the volunteer
work you have performed at an organization providing services to the homeless,
how worthwhile did you find the work you performed?
20. With respect to the volunteer
work you have performed at an organization providing services to the homeless,
did you feel as if the staff at the organization appreciated your work?
21. With respect
to making a donation, in the past 5 years have you made a monetary donation
to an organization providing services to the homeless?
If yes, name(s)
of organization(s):
22. With respect to donations
you have made in the past 5 years, how many times did you make monetary
donations to organizations providing services to the homeless?
23. With respect
to the monetary donations you have made in the past 5 years to organizations
providing services to the homeless, did you get a good sense of how your
donation would impact or help deliver services to the homeless?
Somewhat of a Good Sense
24. In which city do you live?
25. What is your age?
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90+
26. Approximately
what is your yearly household income?
Additional Comments:
Thank you for taking
the time to complete this survey. Your input is invaluable to all
of us at InnVision. As a change oriented organization, we strive
to continually improve our relationship with you and our services to our
clients.
