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