Cherokee County
Faith Community Q.
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______________________________________________     FAITH COMMUNITY QUESTIONNAIRE

CHEROKEE COUNTY HOMELESS AND SHELTER SURVEY

Please volunteer your time. All information provided by your agency will remain CONFIDENTIAL. Thank you for taking the time to respond.

     Cherokee County is currently surveying services to the homeless in our community.  We will use the information gathered to plan for the provision of services in the future.  Because we recognize that communities of faith have always been important as resources for people in need, we are asking your help in gathering information.

     Please fill out the accompanying survey or have the person in your congregation who is the most kinowledgeable fill it out.  We know that some congregations wish to provide services without the knowledge or assistance of any government entity.  We respect that choice and have made the identification portion of the survey optional. 

FOR THE PURPOSE OF THIS STUDY, HOMELESSNESS REFERES TO ANYONE WHO IS TEMPORARILY OR PERMANENTLY WITHOUT A HOME, REGARDLESS OF THE REASONS.  THIS INCLUDES YOUTH AND BATTERED WOMEN.

1. Do you provide any assistance to people who
    are homeless?      
   Yes _____ Continue with questions 2 through 10.   
   No _____ Complete questions 5 and 6.
 
2. Which of the following services do you provide to
    the homeless?
   a. Rental assistance?  Yes _____ No _____
       Estimate yearly amount, if known __$________
   b. Mortgage assistance?  Yes _____ No _____
       Estimate yearly amount, if known __$________
   c.  Funds to prevent eviction?  Yes _____ No _____
       Estimate yearly amount, if known __$________
   d.  Funds to homeless persons to stay in motel rooms?
        Yes _____ No _____
        Estimate yearly amount, if known __$ ________
   e. Money to programs which do any of the above?
       Yes _____ No _____
       Estimate yearly amount, if known __$________
 
3. Do you provide shelter for homeless persons?
   Yes _____ No _____
   a. If yes, where is your shelter located?
       (General geographic area) ____________________
   b. What is the bed capacity of your shelter? __________
   c. What is the maximum amount of days an individual
       can remain in your shelter? __________
 
4. Please identify the services you provide, other than shelter.
    _____________________________________
 
5. Do you communicate with Mr. Harry Smith, Housing referral 
    counselor for Cherokee County Housing Agency, about needs
    and services for homeless persons?
    Yes _____ No _____
    a. How often do you communicate with Mr. Harry Smith?
       Daily _____ Weekly _____ Monthly _____
 
6. Do you refer homeless persons to other agencies for service? 
    Yes _____ No _____
 
7. Did you collect statistical informaiton from July 1, 2000 -
    June 30, 2002, on homeless persons you serviced?
    Yes _____ No _____
 
8. If you provided shelter (in a shelter or motel), how many
    bednights(*) did you provide from July 1, 2000 - June 30, 2002?
 
    * [BEDNIGHTS are calculated by multiplying each person
      sheltered by the number of nights he or she spends in a
      shelter. One person spending 3 nights in a shelter equals 3
      bednights.  Estimates are acceptable, but indicate
      information as an estimate.]
 
9. Please check which segment of the homeless population
    you serve. You may check more than one.
    a. Battered women and children _____
    b. Potentially homeless (on the verge of being homeless) _____
    c. Women with children (non-battered) _____
    d. Unaccompanied minors _____
    e. Elderly (60+ years) _____
    f.  Single women _____
    g. Intact families _____
    h. Extended families _____
    i. Men with children _____
    j. Single men _____
 
10.  Are there any recommendations or suggestions to help
      improve the service to homeless persons in Cherokee
      County? (This included gaps in service)
 
_____________________________________________________

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