Homeless Shelter Resident Satisfaction Survey
How long have you stayed at this shelter?
Less than a week
1-4 weeks
1-6 months
More than 6 months
Which services have you used? (Select all that apply)
Meals
Showers
Case Management
Medical Support
Job Assistance
Other
How would you rate the following?
Cleanliness
1
2
3
4
5
Safety
1
2
3
4
5
Staff Helpfulness
1
2
3
4
5
Food Quality
1
2
3
4
5
What improvements would you suggest?
Additional comments: