Skip to content
About
Services
Events
Updates
Get Involved
Contact Us
Shop
Donate
About
Staff
Board
Accountability
Approach
Careers
Oyate Ota Center
Services
Mental Health
Recovery
Housing
Youth
Family
Employment
Events
Updates
Get Involved
Volunteer
Donate
Contact Us
Shop
Donate
Search for:
Experiencing Homelessness Survey
The purpose of this survey is to gain insight from those with lived homelessness experience who have accessed the homeless response and housing systems at the state and county levels in Minnesota. By completing this survey, you are giving consent for your answers to be anonymously shared with the Minnesota Department of Human Services. Your name, contact information, and mailing address will only be used for the purpose of mailing out a gift card in return for completing this survey. By completing this survey, you are giving consent for the American Indian Family Center (AIFC) to send your gift card to the address provided.
Name
(Required)
First
Last
Email
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
How old are you?
(Required)
Under 18
18-24
25-54
55+
How do you racially/ethnically identify? (Select all that apply)
(Required)
American Indian/Alaskan Native
Asian/Pacific Islander
Hispanic/Latinx
Black/African American
White
Other
Other
Have you in the past or are you currently experiencing homelessness? (Homelessness includes staying in a shelter, staying with family and friends/couch hopping, sleeping in a car/tent, etc.)
(Required)
Yes
No
If you have experienced homelessness, what type of shelter or temporary housing did you stay in?
Shelter/Emergency Housing
Couch hopping/staying with family or friends
Car
Tent/encampment
Hotel
Other
Other
If you have experienced homelessness, what was the biggest barrier to accessing housing?
Finding a place that would rent to me with my background
Accessing assistance for rent/deposit when I found a place
Getting help with basic needs (food, hygiene products, laundry, employment, etc.)
Other
Other
When looking for supports, what resources are most needed? (Select all that apply)
(Required)
Housing/Shelter
Employment
Education
Transportation
Childcare
Food/Nutrition
Mental Health
Chemical Health
Legal
Other
Other
Who is your biggest support in time of need/crisis?
(Required)
Family and/or friends
Community organizations
Online Support
Other
Other
How often do you access this support system?
(Required)
Weekly
Monthly
Every 3-6 months
Once a year
How do you access housing services?
(Required)
Drop-In Center
Called an organization and made an appointment
Met with an outreach worker or asked a current case worker
Called shelter hotline
Applied online for assistance
On a scale of 1 to 5, when seeking housing services and support from an organization or agency, how accessible were the services?
(Required)
1-I was unable to access the service
2-I was able to access the service but had a difficult time
3-I accessed the service with extra assistance from staff
4-I accessed the service by myself but it took extra time
5-I accessed the service with no trouble
What type of housing services have you accessed?
(Required)
Shelter/Emergency Housing
Housing Search and/or Damage Deposit Assistance
Rental Assistance
Utility Assistance
Mortgage Assistance
What is the average length of time you spent with an organization or agency to access a housing service and address your needs?
(Required)
1 day
1 week
1 month
2-6 months
7-9 months
More than 10 months
While addressing housing needs, did you experience any other barriers?
Yes
No
If you answered yes to the previous question, what type of need or service did you seek?
Mental Health/Therapy
Chemical Health/Treatment
Employment Services
Family Services
Youth Programming
Other
Not applicable
Other
When looking for additional services, where do you go to find information on what you need?
(Required)
Internet/Organization website
Social Media (Facebook, Twitter, Instagram, etc.)
Friends and family
Current case manager
Employer
Community member and/or neighbor
What was the most helpful thing you learned when accessing housing and/or shelter?
What kept you from accessing housing and/or shelter?
What resource would be helpful when trying to access housing and/or shelter?
(Required)
Transportation
Financial assistance
Housing search
Help applying for services
Other
Other
If there is anything additional that you would like to share that could help improve homeless response and housing services?
Would you be interested in joining a community leadership team that advises housing and homeless outreach programs on community needs?
Yes
No
Prefer not to say
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.