Homeless Youth Needs Assessment Survey


THIS IS A VOLUNTARY SURVEY ABOUT YOUR NEEDS. YOU DO NOT HAVE TO ANSWER ANY QUESTIONS YOU DON’T WANT TO. YOU CAN STOP THE SURVEY AT ANY TIME.


Completion of this survey will help the Tampa/Hillsborough County Continuum of Care’s Unaccompanied Youth Committee better identify and prioritize the needs of homeless youth (ages 16-24 who do not reside with a parent or legal guardian) for planning a community response to youth homelessness and housing instability in Hillsborough County.



1. How old are you?
0/50
2. Are you attending school?
3. What is the last grade you have completed in school?
0/50
4. Do you currently reside with a parent or legal guardian?
5. Are you pregnant or raising a child?
6. What is your preferred language?
0/50
7. Do You have a safe, stable place to sleep each night?
8. Where have you slept in the last 30 days? (Check all that apply)
9. Where did you sleep last night? (Check all that apply)
10. What do you need to improve your well-being? (Check all that apply)
11. Do you have any other needs that have not been addressed in the previous question? Please explain.
0/250
12. With what gender do you best identify?
13. Do you identify as LGBTQ?
14. Are you currently in or have you aged out of the Foster Care System?
15. Are you currently or have you been involved in the Criminal Justice System?
16. What is your race?
0/250
17. Are you Hispanic / Latino / Latina / Latinx?
18. What is your preferred form of communication?
0/250
19. In your own words, what has been the biggest barrier to accessing services and obtaining safe stable housing?
0/500