Unstable Housing Survey

The following questions are designed to help gauge how many community members who call Washington County home are in unstable housing situations, including how many youth and children.  The questions can be answered by people who are describing their own situation as well as by people describing the situation of a client, student, neighbor, or other individual/family unit.  If there are children involved, please provide the dates of their birth.  Download and print a paper version of the survey to bring on a home visit, then enter the data in the form below.