Loveland Homeless Youth Point-in-Time Count/Survey Report

- 14 -Have you ever been in the custody of social services? Yes NoHave you ever stayed in an adult homeless shelter? Yes NoIf yes, where? Loveland Ft. Collins Denver Other_____________Have you ever stayed in a homeless youth shelter? Yes NoIf yes, where? Loveland Ft. Collins Denver Other_____________Are you currently employed? Yes NoIf yes, what is your employment status? Part-time Full-timeDuring the past year, approximately how many jobs have you held? ________As we conduct this survey, are there specific locations where homeless and runawayyouth tend to “hang-out”? Yes NoIf yes, where? ___________________________________________________________If we could create services for young people in the Loveland area, what do you thinkyou and/or your friends would find helpful?Food Shower ID/Birth Certificate Shelter MedicalEducation Employment Drug and Alcohol Mental Health CounselingHygiene HIV/STI Testing Condoms Bleach Kits LaundryLegalOther __________________________Is there any other information that you have for us that might be helpful inconducting this survey? ___________________________________________________________________________________________________________________________________________________________________________________________________Thanks for your help! We hope that this information will provide you and your friendswith better services. Please contact Urban Peak Denver (303-777-9198) if you have anyadditional questions.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *Interviewer ID: _______________Other Comments:Copyright 2003 by Urban Peak