Housing Support Survey
What city are you currently in?
Select your state:
Select a state
Tennessee
Georgia
Florida
California
New York
Texas
What is your age?
What is your gender?
Select an option
Female
Male
Non-binary
Prefer not to say
Other
What is your current housing situation?
Select an option
Currently unhoused
Staying in a shelter or halfway house
Temporary housing with friends/family
In stable housing, but worried about losing it
How urgent is your housing need?
Select urgency level
Emergency (need shelter now)
Soon (within days/weeks)
Planning for future (in months)
Anything else you'd like to share?
Submit