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3-Month Follow-Up (Optional)

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Uploaded by: Makerble Templates
Number the questions (only when viewed internally)

Section 1: Housing Sustainment


Q1. Are you still in accommodation? (single choice)

Question Settings ▼ ▲

Are you still in accommodation?

Yes No

Dropdown List used: "Are you still in accommodation?

Q2. Current Housing Status (single choice)

Question Settings ▼ ▲

What is your current housing situation?

Same accommodation Different accommodation (still housed) Rough sleeping Staying with friends/family Other emergency accommodation In treatment facility In custody Unknown

Dropdown List used: Current Housing Status

Q3. In the last month, have you slept rough? (single choice)

Question Settings ▼ ▲

In the last month, have you slept rough?

Yes No

Dropdown List used: In the last month, have you slept rough?

Q4. How many nights?
Hidden Unless Yes is selected in Q4 In the last month, have you slept rough?

Question Settings ▼ ▲

How many nights?



Section 2: Independence & Wellbeing


Q5. Managing Independently (single choice)

Question Settings ▼ ▲

How able do you feel to manage your accommodation and daily life independently?

1 2 3 4 5 6 7 8 9 10

Dropdown List used: Physical Health

Q6. Overall Life Satisfaction (single choice)

Question Settings ▼ ▲

Overall, how satisfied are you with your life at the moment?

1 2 3 4 5 6 7 8 9 10

Dropdown List used: Physical Health

Q7. Level of Support Needed (single choice)

Question Settings ▼ ▲

How much support do you currently need to maintain your housing?

Intensive daily support Regular support (weekly) Occasional support (monthly) Low-level support No support needed

Dropdown List used: Level of Support Needed

Collect survey responses

360°
360°
Invite observers to answer a survey about a contact in your CRM. Send out invitations for several contacts at once via email, SMS or your own channels.

Collect Responses

Universal
Universal
Allow anyone with the link to submit a survey response.
Optionally generate a QR code.
Share Link

Tracked
Tracked
Track responses to individual contacts. Send survey invitations via email and SMS - with automated reminders - or your own communication channels.
Collect Responses

Anonymised
Anonymised
Hide the identity of each respondent when collecting responses from saved contacts or a list of email addresses.
Collect Responses

Import
Import
Upload survey responses from a spreadsheet with a row per respondent and column per question.
Import Responses

API
API
Send out survey invitations programmatically and/or receive responses via the API..
Get Started

Filled in by a Colleague: 1 contact at a time
Filled in by a Colleague: 1 contact at a time
Submit a survey response about a saved contact while filling in a survey in-person (CAPI), over the phone (CATI) or typing up a paper survey response.
Collect Response

Filled in by a Colleague: Several at once
Filled in by a Colleague: Several at once
Use the Answers Table to submit responses to each question. There’s one row per contact. Responses are automatically linked to individual contacts.
Enter Responses

Filled in by a Colleague: Manual Headcount
Filled in by a Colleague: Manual Headcount
Enter responses without the need for individual contacts or respondents. Enter the number of people who gave each answer to each question.
Enter Quantities

Universal Manual Headcount
Universal Manual Headcount
Collect manual headcount responses from anyone with the link.

Share Link

Multi-stage
Multi-stage
Collect demographic data. Thread several surveys together. Deliver advanced survey experiences.
Go to Signup Pages

Branded Portal
Branded Portal
Provide respondents with a password-protected space to submit, review, discuss or act upon survey responses.
Get Started

Automation
Automation
Automatically send out survey invitations whenever certain rules are met
Create an automation

360° Assessment
360° Assessment
Get a rounded view of each contact by combining their self-reflections (Tracked), perspectives from people who know them (Observers) and your colleagues' professional opinions (Filled in by a Colleague). Send invitations for several contacts at once by email, SMS or your own channels.

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Step 1: Where will this adjustment be applied?

Step 2: When will this adjustment be applied?

Step 3: Who does this adjustment apply to?

Choose whether to show, hide or reword this question based on where, when and by whom the survey is completed