House the Homeless Thermal Underwear Drive Survey 2007

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2009 SACRAMENTO HOMELESS EMPLOYMENT SURVEY
__________
INSTRUCTIONS:
1. Please stress this survey is totally confidential
2. Please explain that the reasons we are doing the survey is to: [1] educate elected
officials that homeless people do work and do want to work; [2] help design
employment programs that work for homeless people.
AGE:
ETHNICITY:
GENDER:
____
____
____
Af-Am ___ Cauc ___ Hispanic ___ Asian___ Native Am ___ Other
M:
___ F:
___ Transexual:
1.
What is the main reason you became homeless: Check all that apply:
_____
_____
_____
_____
foreclosure
_____ insufficient income
_____ lost job
evicted
_____ disability
_____ domestic violence
illness
_____ substance abuse
_____ emancipated from foster care
Other: ________________________________________________________________
How long have you been homeless? ___ Less than 3 months ____ 3-6 months _____ 6-12 ____ 1- 2 yrs ____ 2+
2.
Do you currently have a job? Circle one:
If Yes: Check one:
How many hours a week?
____
Yes
No
Full time ____ Part time ____ Seasonal ____ Day Labor
____
If No: How long unemployed? Check one:
n 3 months
____ 3-6 months _____ 6-12 ____ 1- 2 yrs ____ 2+
3.
What is keeping you from working?
Check all that apply:
_____
_____
_____
_____
_____
_____
_____
_____
Homeless
_____ Can’t find work
_____ Lack transportation
Health issues
_____ Lack tools/equipment
_____ Disabled
No identification
_____ Lack of documentation
_____ Lack of education
Lack of training
_____ Lack of child care
_____ Age [too old]
Conviction
_____ Appearance [teeth; tattoos]
_____ Lack of appropriate clothing
SSI rules
_____ Lack of work experience
_____ Lack of interview skills
Literacy
_____ Educational level
_____ Gave up looking
Other: _____________________________________________________________
4.
Do/did you have a license or certificate for your job skills? Circle one
Yes
No
5.
____
____
____
____
____
____
What job skills do you have? Check all that apply:
computer skills
____ office skills
____ retail skills
sales skills
____ people skills
____ service skills
repair/maintenance skills
____ technical skills
____ construction skills
manufacturing skills
____ hospitality/restaurant skills ____ managerial skills
healthcare skills
____ warehouse/labor skills
other: ______________________________________________________________________________
6.
Do you want to work?
Circle one
If yes: Check one:
____
Yes
Full time
No
____
Part time
7.
Do you need accommodations to be able to work? Circle one
8.
____
____
____
____
____
____
____
If yes, choose your top 3 jobs from the list below:
administrative/clerical
____ construction
____ healthcare/support services
healthcare technician
____ human services
____ information technology
installation/repair/
____ tourism and hospitality
____ transportation
maintenance
____ sales/retail
____ customer service
manufacturing/
____ warehouse
____ child care
assembly work
____ janitorial
____ law enforcement
food service industry
____ beautician/cosmetology
____ landscaping
management
____ legal
____ education and training
media/entertainment/film
____ military
other: ______________________________________________________________________________
9.
Would you like to go back to school to receive additional training? Circle one:
____
Yes
Yes
No
No
What kind? Check all that apply:
_____ GED
____ Adult education
_____ On-the-job training
_____ Technical school
_____ Community college
_____ Continuing education
_____ Vocational rehab
_____ College
_____ On-line course
10.
Have the following government agencies been helpful to you in finding a job? Check all that apply
____
____
____
____
General Assistance
Yes
No
____ Unemployment Dept.
Yes
CalWORKS
Yes
No
____ One-Stop Career Center
Yes
Veterans administration
Yes
No
____ One-Stop Career Center
Yes
VA Vocational Rehabilitation
Yes
No
____ Social Security Administration
Yes
Program benefits
____ Homeless programs
Yes
VA disability
Yes
No
compensation benefits
Other: ______________________________________________________________________________________
11.
A.
____
____
____
____
____
If yes – how were they helpful?
Check all that apply:
Located employment
____ Received benefit
____ Enrolled in job training program
Enrolled in school
____ Resume writing
____ Received Interview skills
Computer training
____ On the job support
____ Transportation
Providing an address/email/phone: voicemail
Other: _____________________________________________________________________________________
B.
____
____
____
____
____
If no – why were they not helpful?
Check all that apply:
Did not know about the service ____ Got turned away
____ Lack of transportation
Lack of child care
____ Lack of computer skills
____ Language
Long wait list
____ No follow-up/call back
____ Red tape
Wouldn’t take me because I am: ____ Homeless
____ Disabled
____ Criminal background
Other: _____________________________________________________________________________________
No
No
No
No
No
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