Homeless Shelter Site Visit Evaluation Form
Basic Information
Shelter Name
Site Address
Visit Date
Evaluator Name(s)
Shelter Operations
Capacity (Number of Beds)
Number of People Served Daily
Staff-To-Client Ratio
Operating Hours
Facility Condition
Cleanliness Assessment
Excellent
Good
Fair
Poor
Safety & Security Measures
Accessibility (e.g., ADA compliance)
Services Provided
Meal Services
None
Breakfast
Lunch
Dinner
All Meals
Case Management Available?
Yes
No
Other Services (healthcare, counseling, etc.)
Strengths Noted
Areas for Improvement
Additional Comments