|
Are you homeless?
|
New Yes / No
|
|
If Yes: Related Support provided
|
New Yes / No
|
|
Are you food insecure?
|
New Yes / No
|
|
If Yes: Related Support provided
|
New Yes / No
|
|
Are you in need of employment?
|
New Yes / No
|
|
If Yes: Related Support provided
|
New Yes / No
|
|
Do you have health insurance?
|
New Yes / No
|
|
If No: Related Support provided
|
New Yes / No
|
|
Are you in need of counseling?
|
New Yes / No
|
|
If Yes: Related Support provided
|
New Yes / No
|
|
Are you in need of NA?
|
New Yes / No
|
|
If Yes: Related Support provided
|
New Yes / No
|
|
Are you in need of AA?
|
New Yes / No
|
|
If Yes: Related Support provided
|
New Yes / No
|
