Housing Stability Assessment

Current Living Situation Own Home Renting Staying with Friends/Family Homeless/Shelter Other How long have you lived at your current address? Number of Moves in Last 12 Months Others living in the household Do you feel your housing is stable? Yes No Unsure If unstable or unsure, please explain Have you received any eviction notices in the past year? Yes No Are you able to pay your rent/mortgage on time? Yes No Sometimes Barriers to housing stability Strengths or resources that help with housing