Timestamp: 42037.7262570023
Survey Code: MN45
Location: F ST. & SANTA CLARA
Zip Code Map: 93706
Interviewer: JESSICA
Date & Time: 42033.8020833333
Sleeping location: Vehicle (car, van, RV, truck)
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LIN FUL
Q5. Month and year of birth: 08/1948
Q6. Last four digits of SSN: 2332
Q9. How old are you?: 66
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 3
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: JES XXX
Q5. Month and year of birth2: DK
Are you…: DK
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42037.6834751389
Survey Code: AB61
Location: TULARE & MAYOR
Zip Code Map: 93721
Interviewer: DANIELLE ERDMAN
Date & Time: 42032.7291666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CHR DUA
Q5. Month and year of birth: 10/1986
Q6. Last four digits of SSN: 7196
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 30
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD, Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6157291551
Survey Code: SA26
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SAV HER
Q5. Month and year of birth: 08/1991
Q6. Last four digits of SSN: DK
Q9. How old are you?: 23
Age: 18-24
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 60
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.7186707755
Survey Code: MN42
Location: G & SANTA CLARA
Zip Code Map: 93706
Interviewer: AMBER
Date & Time: 42033.7708333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MIA BAR
Q5. Month and year of birth: 11/1977
Q6. Last four digits of SSN: 6968
Q9. How old are you?: 39
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 90
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: JOS BAR
Q5. Month and year of birth2: 09/1979
Are you…: 25+
Q6. Last four digits of SSN3: 2890
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: 37
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42033.3792147338
Survey Code: MC01
Location: ARGYLE & TULARE
Zip Code Map: 93727B
Interviewer: MELISSA MIKEL
Date & Time: 42032.5423611111
Sleeping location: Bike Trail
Q2. Have you taken this survey?: No
Number of ADULTS: 4
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LYN FER
Q5. Month and year of birth: 06/1965
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 90
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: ARV FOR
Q5. Month and year of birth2: 02/1967
Are you…: 25+
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Fiance
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42037.6163532986
Survey Code: MJ15
Location: CEDAR AVE & SHIELDS AVE
Zip Code Map: 93726
Interviewer: ARTHUR MARTINEZ
Date & Time: 42032.4652777778
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ADA SOT
Q5. Month and year of birth: 1955-09-01
Q6. Last four digits of SSN: 3110
Q9. How old are you?: 59
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 90
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 180
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6180026968
Survey Code: MN13
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LAR MEC
Q5. Month and year of birth: 03/1953
Q6. Last four digits of SSN: 8605
Q9. How old are you?: 61
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 120
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 545
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD, Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6204566435
Survey Code: MJ16
Location: 93726
Zip Code Map: 93726
Interviewer: ARTHUR CALDERON
Date & Time: 42032.4520833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: FRA KEL
Q5. Month and year of birth: 1968-09-01
Q6. Last four digits of SSN: 2892
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: Yes
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 150
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 130
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8780098148
Survey Code: ER14
Location: P ST. & DIVISADERO
Zip Code Map: 93721A
Interviewer: JIMMY DELATORRE
Date & Time: 42032.5263888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: THO PER
Q5. Month and year of birth: 3/1955
Q6. Last four digits of SSN: 9978
Q9. How old are you?: 59
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 3285
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use, Psychiatric/emotional condition, Brain injury
Q21. Have you ever received special education services?:
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6622278356
Survey Code: AB54
Location: OLIVE AVE & HUGHES AVE
Zip Code Map: 93728
Interviewer: JUAN
Date & Time: 42033.8166666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MEL GUS
Q5. Month and year of birth: 1950-05-01
Q6. Last four digits of SSN: 8974
Q9. How old are you?: 64
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 240
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6335801505
Survey Code: SA31
Location: OLIVE AVE & FRESNO ST
Zip Code Map: 93701A
Interviewer: FOTOFILI NAMOA
Date & Time: 42033.8680555556
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ELA REN
Q5. Month and year of birth: 1959-04-01
Q6. Last four digits of SSN: 7795
Q9. How old are you?: 55
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 240
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 240
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4428741782
Survey Code: AG15
Location: FRESNO & E ST.
Zip Code Map: 93706
Interviewer: TAMARA DIAZ
Date & Time: 42032.5625
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DAN DEL
Q5. Month and year of birth: 06/1958
Q6. Last four digits of SSN: 8495
Q9. How old are you?: DK
Age: DK/REF
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: Yes
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 240
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Physical disability, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5360284259
Survey Code: AD01
Location: G ST. & SANTA CLARA
Zip Code Map: 93706
Interviewer: JESSICA
Date & Time: 42033.78125
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: FRA MAL
Q5. Month and year of birth: 1980-05-01
Q6. Last four digits of SSN: 550X
Q9. How old are you?: 34
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 270
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: DK/REF
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.475132662
Survey Code: MC22
Location: JENSEN & E ST
Zip Code Map: 93706C
Interviewer: CARRIE
Date & Time: 42032.5444444444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR COO
Q5. Month and year of birth: 1960-09-01
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: DK/REF
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 270
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5056056134
Survey Code: IG35
Location: 93726
Zip Code Map: 93726
Interviewer: PATRICIA DUNNE
Date & Time: 42032.4375
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: THO HIG
Q5. Month and year of birth: 1960-03-01
Q6. Last four digits of SSN: 5168
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: DK/REF
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8970315856
Survey Code: ER17
Location: BELMONT & N CLARK ST
Zip Code Map: 93701B
Interviewer: ESTHER CARNEGA
Date & Time: 42032.5659722222
Sleeping location: ALLEY
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PHI MOS
Q5. Month and year of birth: 11/1961
Q6. Last four digits of SSN: 1981
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: Yes
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6093709838
Survey Code: SA23
Location: F ST & SANTA CLARA
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4166666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAM WAF
Q5. Month and year of birth: 09/1964
Q6. Last four digits of SSN: 5567
Q9. How old are you?: 50
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use, Ongoing health issue, Psychiatric/emotional condition, Physical disability, Brain injury
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: BRA SAC
Q5. Month and year of birth2: DK/REF
Are you…: 25+
Q6. Last four digits of SSN3: XXXX
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: 1
Q9. How old are you?4: 48
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: Am Ind or Alaska Nat
Timestamp: 42037.699200787
Survey Code: SB26
Location: FRESNO ST & GETTYSBURG AVE
Zip Code Map: 93726
Interviewer: MARIAJOSE FINES
Date & Time: 42032.5416666667
Sleeping location: UNDER GARBAGE CANS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAB XXX
Q5. Month and year of birth: 1968-06-01
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6258463079
Survey Code: SB11
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.3819444444
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SCO GAR
Q5. Month and year of birth: 04/1967
Q6. Last four digits of SSN: 937
Q9. How old are you?: 47
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 548
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 2920
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6688023611
Survey Code: SB20
Location: E ASHLAN AVE & N FRESNO ST
Zip Code Map: 93726
Interviewer: PATRICIA DUNNE
Date & Time: 42032.3541666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CHA BAY
Q5. Month and year of birth: 1965-10-01
Q6. Last four digits of SSN: 1953
Q9. How old are you?: 49
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4005459028
Survey Code: MM10
Location: DAKOTA & CEDAR
Zip Code Map: 93726B
Interviewer: BEAU
Date & Time: 42032.4409722222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAY BIL
Q5. Month and year of birth: 08/1949
Q6. Last four digits of SSN: 1019
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.384064294
Survey Code: AG05
Location: 93701
Zip Code Map: 93701
Interviewer: JASON ADAMS
Date & Time: 42032.3645833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TIM FLO
Q5. Month and year of birth: 04/1962
Q6. Last four digits of SSN: 6081
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, Ongoing health issue, PTSD, Psychiatric/emotional condition, Physical disability, Brain injury
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5943940856
Survey Code: SB04
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PET OWE
Q5. Month and year of birth: 09/1953
Q6. Last four digits of SSN: 4269
Q9. How old are you?: 61
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6297825463
Survey Code: AB41
Location: DAKOTA & HUGHES
Zip Code Map: 93705
Interviewer: ANDREA GARCIA
Date & Time: 42032.3541666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RUD ESP
Q5. Month and year of birth: 09/1952
Q6. Last four digits of SSN: 1557
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4757761921
Survey Code: AG25
Location: N MAPLE AVE & E SHIELDS AVE
Zip Code Map: 93706
Interviewer: TAMARA DIAZ
Date & Time: 42032.3180555556
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GUA ORT
Q5. Month and year of birth: 04/1979
Q6. Last four digits of SSN: 2530
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4701837269
Survey Code: AG23
Location: TOULOUMNE & F ST.
Zip Code Map: 93706
Interviewer: TAMARA DIAZ
Date & Time: 42032.5694444444
Sleeping location: Under bridge/overpass
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BEN TAY
Q5. Month and year of birth: 06/1962
Q6. Last four digits of SSN: 9671
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat, White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 910
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7757699537
Survey Code: ER01
Location: FERN & LINDEN
Zip Code Map: 937283
Interviewer: VINCENT
Date & Time: 42032.9513888889
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KAR SOM
Q5. Month and year of birth: 12/1962
Q6. Last four digits of SSN: 1121
Q9. How old are you?: DK
Age: DK/REF
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 5
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4973494676
Survey Code: AG31
Location: 93726
Zip Code Map: 93726
Interviewer: DOREEN
Date & Time: 42032.6041666667
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RIC WAL
Q5. Month and year of birth: 1979-09-01
Q6. Last four digits of SSN: 3415
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: APR KEN
Q5. Month and year of birth2: 09/1982
Are you…: 25+
Q6. Last four digits of SSN3: 5227
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: DK
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42037.6108602546
Survey Code: LL08
Location: SHAW & FRESNO
Zip Code Map: 93710
Interviewer: ROSALYN FUNES
Date & Time: 42032.5888888889
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RAY HER
Q5. Month and year of birth: 06/1958
Q6. Last four digits of SSN: 7468
Q9. How old are you?: 56
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: Yes
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.7104560532
Survey Code: MN39
Location: F ST & VENTURA
Zip Code Map: 93706
Interviewer: AMBER
Date & Time: 42033.8125
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROB CLE
Q5. Month and year of birth: 11/1962
Q6. Last four digits of SSN: 8654
Q9. How old are you?: 52
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 5475
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.625822037
Survey Code: AD20
Location: G ST & VENTURA
Zip Code Map: 93706
Interviewer: MANNY BRAR
Date & Time: 42033.8694444444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ALF EAT
Q5. Month and year of birth: 05/1965
Q6. Last four digits of SSN: 7923
Q9. How old are you?: 49
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4839242361
Survey Code: BV20
Location: 93706
Zip Code Map: 93706C
Interviewer: MICHELA
Date & Time: 42032.5791666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: STE COL
Q5. Month and year of birth: 09/1968
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: DK/REF
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1155
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, PTSD, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5881017708
Survey Code: AD11
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: MICHAEL VANG
Date & Time: 42033.7916666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOS VAR
Q5. Month and year of birth: 04/1989
Q6. Last four digits of SSN: 4217
Q9. How old are you?: 24
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: Yes
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 1460
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3914678935
Survey Code: MM07
Location: CEDAR & GETTYSBURG
Zip Code Map: 93726B
Interviewer: BEAU THOMAS
Date & Time: 42032.3194444444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PET SAN
Q5. Month and year of birth: 09/1946
Q6. Last four digits of SSN: 4710
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5041312384
Survey Code: AG32
Location: 93728
Zip Code Map: 93728
Interviewer: SIOBHAN EDMONDS
Date & Time: 42032.6388888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: AUD
Q5. Month and year of birth: 12/1969
Q6. Last four digits of SSN: 4240
Q9. How old are you?: 45
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 7300
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: LET
Q5. Month and year of birth2: 11/1973
Are you…: 25+
Q6. Last four digits of SSN3: 1468
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: DK
Q9. How old are you?4: 41
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: DK/REF
Timestamp: 42033.5799986111
Survey Code: JK09
Location: SHAW & BRAWLEY
Zip Code Map: 93711B
Interviewer: IRA WALLER
Date & Time: 42032.4027777778
Sleeping location: CANAL
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DAV MOR
Q5. Month and year of birth: 05/1956
Q6. Last four digits of SSN: 3882
Q9. How old are you?: REF
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 2005
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6736809606
Survey Code: SA47
Location: FULTON & BELMONT
Zip Code Map: 93728B
Interviewer: ROVERTO VALDEZ
Date & Time: 42033.75
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DUR
Q5. Month and year of birth: 02/1970
Q6. Last four digits of SSN: 49XX
Q9. How old are you?: 45
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: Yes
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6735319213
Survey Code: MN31
Location: PARKVIEW & PARKWAY
Zip Code Map: 93728
Interviewer: DAWN
Date & Time: 42033.7763888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BOB GEN
Q5. Month and year of birth: 04/1957
Q6. Last four digits of SSN: 3383
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4758524421
Survey Code: IG27
Location: HERNDON & INGRAM
Zip Code Map: 93650
Interviewer: GILBERT
Date & Time: 42032.5902777778
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOH MAC
Q5. Month and year of birth: 03/1984
Q6. Last four digits of SSN: REF
Q9. How old are you?: 30
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2005
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 2005
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD, Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4559478704
Survey Code: AG18
Location: KERN & E ST.
Zip Code Map: 93706
Interviewer: TAMERA DIAZ
Date & Time: 42032.3472222222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DON STA
Q5. Month and year of birth: 05/1963
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: Yes
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2190
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 2190
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.7030996412
Survey Code: MN37
Location: F ST & VENTURA
Zip Code Map: 93706
Interviewer: CASSIE
Date & Time: 42033.875
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DAV LOL
Q5. Month and year of birth: 12/1961
Q6. Last four digits of SSN: 2326
Q9. How old are you?: 53
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2190
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: YOS XXX
Q5. Month and year of birth2: 04/1965
Are you…: 25+
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: GIRLFRIEND
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: 50
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: Asian
Timestamp: 42037.6402347685
Survey Code: SA34
Location: 93701
Zip Code Map: 93701B
Interviewer: BRIAN
Date & Time: 42033.7916666667
Sleeping location: FEDERAL BUILDING
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RIC FEL
Q5. Month and year of birth: 01/1937
Q6. Last four digits of SSN: 4540
Q9. How old are you?: 77
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Nat Hawaiian or Other Pacific Islander
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: Yes
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2190
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 2190
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.5693695023
Survey Code: JK07
Location: SHAW & VALENTINE
Zip Code Map: 93711B
Interviewer: AMANDA BREAR
Date & Time: 42032.3645833333
Sleeping location: BEHIND ME N EDS
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PET ROM
Q5. Month and year of birth: 10/1953
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2555
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 2555
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: ALL ROM
Q5. Month and year of birth2: DK
Are you…: DK
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Other Family
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: BEHIND ME N EDS
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42033.4679849421
Survey Code: BV16
Location: E MCKINLEY AVE & N 1ST ST
Zip Code Map: 93703
Interviewer: JEZRA LOREMP
Date & Time: 42032.5430555556
Sleeping location: GARAGE
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BIL CAR
Q5. Month and year of birth: 12/1968
Q6. Last four digits of SSN: REF
Q9. How old are you?: 47
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2920
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6286554051
Survey Code: LL15
Location: CEDAR & SHIELDS
Zip Code Map: 93726B
Interviewer: ARTHUR
Date & Time: 42032.4652777778
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR FAU
Q5. Month and year of birth: 07/1958
Q6. Last four digits of SSN: 8523
Q9. How old are you?: 56
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 3285
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 3265
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Psychiatric/emotional condition, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6786807639
Survey Code: LL39
Location: 93710
Zip Code Map: 93710
Interviewer: ABBEY PORTER
Date & Time: 42033.7916666667
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ARV NOT
Q5. Month and year of birth: 06/ REF
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 3650
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4071612384
Survey Code: BV05
Location: KINGS CANYON & CLOVIS
Zip Code Map: 93727B
Interviewer: SKY MULLINS
Date & Time: 42032.5
Sleeping location: Vehicle (car, van, RV, truck)
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SAN MEN
Q5. Month and year of birth: 08/1957
Q6. Last four digits of SSN: 5067
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 3650
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 3650
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD, Physical disability, Brain injury
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4509687847
Survey Code: MC14
Location: KINGS CANYONJ & WINERY
Zip Code Map: 93727B
Interviewer: NICOLE HENSON
Date & Time: 42032.4930555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: NAT ROB
Q5. Month and year of birth: 09/1948
Q6. Last four digits of SSN: 4835
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 3650
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 3650
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.648962037
Survey Code: SA37
Location: TULARE & FIRST
Zip Code Map: 93701B
Interviewer: BRIAN
Date & Time: 42033.7395833333
Sleeping location: ALLEY
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MIK SAN
Q5. Month and year of birth: 05/1952
Q6. Last four digits of SSN: 6963
Q9. How old are you?: 62
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: Yes
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 3650
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 3650
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6502402431
Survey Code: AD25
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: CARLIE
Date & Time: 42033.75
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 4
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JEN FEN
Q5. Month and year of birth: 05/1977
Q6. Last four digits of SSN: 2932
Q9. How old are you?: 37
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 4015
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: DK/REF
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: LAW GAB
Q5. Month and year of birth2: 03/1990
Are you…: 18-24
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: STREET OR SIDEWALK
Q9. How old are you?4: 24
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42037.5695885069
Survey Code: AD06
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: CASSIE MORGAN
Date & Time: 42033.7708333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SYL COO
Q5. Month and year of birth: 05/1986
Q6. Last four digits of SSN: 1554
Q9. How old are you?: 28
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat, Asian, Black or AA, Nat Hawaiian or Other Pacific Islander, White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 4745
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 4745
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4434710648
Survey Code: MC11
Location: 93703
Zip Code Map: 93703
Interviewer: GIANTS FAN
Date & Time: 42032.4451388889
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: WIL FER
Q5. Month and year of birth: 07/1973
Q6. Last four digits of SSN: 4849
Q9. How old are you?: 41
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 5110
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 5110
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6728609144
Survey Code: SB21
Location: INDIANAPOLIS & BLACKSTONE
Zip Code Map: 93726
Interviewer: SILVIA GONZALEZ
Date & Time: 42032.2916666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ARM GAB
Q5. Month and year of birth: 01/1955
Q6. Last four digits of SSN: 7643
Q9. How old are you?: 59
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: Yes
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 5475
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4494247801
Survey Code: JP19
Location: W BELMONT AVE & N HUGHES AVE
Zip Code Map: 93706
Interviewer: JULIAN GARZA
Date & Time: 42032.4166666667
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BIL CAR
Q5. Month and year of birth: 01/1961
Q6. Last four digits of SSN: 2626
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 6935
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4634593403
Survey Code: MJ1
Location: MCKINELY & CHESTNUT
Zip Code Map: 93727A
Interviewer: BEAU
Date & Time: 42032.9659722222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: STE ROD
Q5. Month and year of birth: 12/1957
Q6. Last four digits of SSN: 347
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 7300
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: dk
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4984481944
Survey Code: JK05
Location: SHAW & BRAWLEY
Zip Code Map: 93711B
Interviewer: DOREEN ELEY
Date & Time: 42032.4027777778
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MIK DAN
Q5. Month and year of birth: REF
Q6. Last four digits of SSN: 5699
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 7300
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 7300
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8499974306
Survey Code: GM03
Location: VENTURA & H STREET
Zip Code Map: 93721B
Interviewer: JIMMY DELATORRE
Date & Time: 42032.6111111111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: HEN HUF
Q5. Month and year of birth: 11/1949
Q6. Last four digits of SSN: REF
Q9. How old are you?: 65
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: Yes
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 7300
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 7300
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4941821991
Survey Code: JK04
Location: 93725
Zip Code Map: 93725
Interviewer: KIM GRAY
Date & Time: 42032.4444444444
Sleeping location: Under bridge/overpass
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CAR SAN
Q5. Month and year of birth: 3/1964
Q6. Last four digits of SSN: DK
Q9. How old are you?: 50
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 9125
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 9125
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: DK/REF
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?:
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6282244444
Survey Code: SA29
Location: 93710
Zip Code Map: 93710B
Interviewer: BRIAN
Date & Time: 42033.8993055556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SID MER
Q5. Month and year of birth: 06/1972
Q6. Last four digits of SSN: 6452
Q9. How old are you?: 43
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat, White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 9125
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 9125
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.3995203356
Survey Code: BV04
Location: ARGYAL & BECK
Zip Code Map: 93727B
Interviewer: SKYLON MULLINS
Date & Time: 42032.4166666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DWA WHI
Q5. Month and year of birth: 03/1956
Q6. Last four digits of SSN: 3456
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD, Psychiatric/emotional condition, Physical disability, Brain injury
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: Yes
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4487431366
Survey Code: AG16
Location: FRESNO & E. ST.
Zip Code Map: 93706
Interviewer: TAMARA DIAZ
Date & Time: 42032.3402777778
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROB DIA
Q5. Month and year of birth: 10/1959
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: Yes
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4578537616
Survey Code: AB24
Location: DIVISADARO & FIRST
Zip Code Map: 93701B
Interviewer: RAY
Date & Time: 1/28/0015 14:30:00
Sleeping location: GARAGE
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JES VAL
Q5. Month and year of birth: 01/1967
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: DK/REF
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3650571296
Survey Code: JP01
Location: 93710
Zip Code Map: 93710
Interviewer: JASON ADAMS
Date & Time: 42032.4305555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAN RAM
Q5. Month and year of birth: 11/1949
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: DK/REF
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: DK/REF
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.773087338
Survey Code: AB06
Location: O ST & FRESNO ST.
Zip Code Map: 93721A
Interviewer: AARON HALL
Date & Time: 42032.4166666667
Sleeping location: WALKING AROUND
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAV SEG
Q5. Month and year of birth: 12/1980
Q6. Last four digits of SSN: 9782
Q9. How old are you?: 32
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: DK/REF
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4671062616
Survey Code: AG22
Location: 93706
Zip Code Map: 93706
Interviewer: TAMARA DIAZ
Date & Time: 42032.4895833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CUR HOR
Q5. Month and year of birth: 02/1968
Q6. Last four digits of SSN: 6492
Q9. How old are you?: DK
Age: DK/REF
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 1
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?:
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8283791088
Survey Code: ER07
Location: VAN NESS & HOLMES
Zip Code Map: 93728B
Interviewer: GER THAO
Date & Time: 42032.3270833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PHI JAU
Q5. Month and year of birth: 10/1986
Q6. Last four digits of SSN: 2302
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White, Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5851246528
Survey Code: AD10
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: CASSIE MORGAN
Date & Time: 42033.75
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GRA SON
Q5. Month and year of birth: 05/1976
Q6. Last four digits of SSN: DK
Q9. How old are you?: 38
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 1
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5919052894
Survey Code: MN06
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: XXX AGU
Q5. Month and year of birth: 03/1976
Q6. Last four digits of SSN: 5591
Q9. How old are you?: 38
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 3
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 545
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: EIE BAU
Q5. Month and year of birth2: 07/1975
Are you…: 25+
Q6. Last four digits of SSN3: 1917
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: SHEDS
Q9. How old are you?4: 39
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: Am Ind or Alaska Nat
Timestamp: 42037.4137450926
Survey Code: JP12
Location: BELGRAVIA & ELM
Zip Code Map: 93706
Interviewer: JULIAN GARZA
Date & Time: 42032.6041666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOS GOM
Q5. Month and year of birth: 06/1966
Q6. Last four digits of SSN: 866
Q9. How old are you?: 48
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 4
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 5475
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5105196065
Survey Code: JP41
Location: 93706
Zip Code Map: 93706
Interviewer: M. THOMAS
Date & Time: 42032.5625
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROB LOP
Q5. Month and year of birth: 04/1962
Q6. Last four digits of SSN: 1936
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 4
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 4
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6494776273
Survey Code: LL24
Location: BELMONT & FULTON
Zip Code Map: 93728B
Interviewer: GER THAO
Date & Time: 42032.375
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DAN DUR
Q5. Month and year of birth: 02/1970
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 5
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6843059259
Survey Code: MN34
Location: W BELMONT AVE & N GOLDEN STATE BLVD
Zip Code Map: 93728A
Interviewer: KATHRYN P
Date & Time: 42033.7916666667
Sleeping location: Vehicle (car, van, RV, truck)
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SHA STE
Q5. Month and year of birth: 12/1970
Q6. Last four digits of SSN: 7427
Q9. How old are you?: 45
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 7
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 210
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?:
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4530193518
Survey Code: AG17
Location: FRESNO & E ST.
Zip Code Map: 93706
Interviewer: TAMARA DIAZ
Date & Time: 42032.3180555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DEB JUD
Q5. Month and year of birth: 08/1962
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat, White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 7
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 30
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4782125463
Survey Code: IG28
Location: HERNDON & INGRAM
Zip Code Map: 93720
Interviewer: SHARON ANDRADE
Date & Time: 42032.5777777778
Sleeping location: SHED
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ANI GAR
Q5. Month and year of birth: 10/1960
Q6. Last four digits of SSN: 7376
Q9. How old are you?: 54
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 7
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.635273125
Survey Code: AB44
Location: SHIELDS & WEST
Zip Code Map: 93705
Interviewer: ANDREA GARCIA
Date & Time: 42032.4270833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: WIL O
Q5. Month and year of birth: 05/1982
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 7
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6876300926
Survey Code: MN35
Location: C ST & FRESNO
Zip Code Map: 93706
Interviewer: CASSIE MORGAN
Date & Time: 42033.8958333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MIC MOO
Q5. Month and year of birth: 01/1962
Q6. Last four digits of SSN: 4772
Q9. How old are you?: 52
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 11
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4378896528
Survey Code: IG17
Location: CLINTON & BLYTH
Zip Code Map: 93722
Interviewer: NEOMI CORTEZ
Date & Time: 42032.375
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: XXX XXX
Q5. Month and year of birth: 10/1981
Q6. Last four digits of SSN: 3870
Q9. How old are you?: 33
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 14
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6085559375
Survey Code: AD15
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETTY
Date & Time: 42033.8541666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JUA PAR
Q5. Month and year of birth: 12/1988
Q6. Last four digits of SSN: 3104
Q9. How old are you?: 26
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 14
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 14
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6049165972
Survey Code: SA22
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KIM ORT
Q5. Month and year of birth: 09/1968
Q6. Last four digits of SSN: 1778
Q9. How old are you?: 47
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 14
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6335449653
Survey Code: AB43
Location: SHIELDS & WEST
Zip Code Map: 93705
Interviewer: LATASHA HOLLINS
Date & Time: 42032.4270833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RUB PER
Q5. Month and year of birth: 06/1986
Q6. Last four digits of SSN: 5839
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 14
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5431756944
Survey Code: MJ12
Location: ELM & EAST
Zip Code Map: 93607C
Interviewer: MARY PATINO
Date & Time: 42032.5368055556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOS SAN
Q5. Month and year of birth: 02/1984
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 14
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6215341898
Survey Code: LL12
Location: 93706
Zip Code Map: 93706C
Interviewer: CARRIE
Date & Time: 42032.5597222222
Sleeping location: Vehicle (car, van, RV, truck)
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DON KEL
Q5. Month and year of birth: 09/1951
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 21
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.680614375
Survey Code: MN33
Location: W BELMONT AVE & N GOLDEN STATE BLVD
Zip Code Map: 93728A
Interviewer: DAWN
Date & Time: 42033.8083333333
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOE URO
Q5. Month and year of birth: 09/1966
Q6. Last four digits of SSN: 7444
Q9. How old are you?: 47
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 21
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8200780903
Survey Code: ER06
Location: OLIVE & FRUIT
Zip Code Map: 93728B
Interviewer: GER THAO
Date & Time: 42032.5416666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOE BRO
Q5. Month and year of birth: 09/1957
Q6. Last four digits of SSN: 7442
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 21
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.637449537
Survey Code: SA33
Location: 93701
Zip Code Map: 93701A
Interviewer: FOTOFILI NAMOA
Date & Time: 42033.8215277778
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BRA PUL
Q5. Month and year of birth: 1973-10-01
Q6. Last four digits of SSN: 6734
Q9. How old are you?: 41
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 21
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4593082523
Survey Code: AG19
Location: N HUGHES AVE & W BELMONT AVE
Zip Code Map: 93706
Interviewer: TAMARA DIAZ
Date & Time: 42032.4
Sleeping location: ABANDONED CONTAINER
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: NAN RIC
Q5. Month and year of birth: 06/1970
Q6. Last four digits of SSN: 4489
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 21
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8115653472
Survey Code: GM01
Location: OLIVE & VAN NESS
Zip Code Map: 93728B
Interviewer: Ger Thao
Date & Time: 42032.5833333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 1
Q4a. First 3 letters of first and last name: JOS BAR
Q5. Month and year of birth: 08/1967
Q6. Last four digits of SSN: 2336
Q9. How old are you?: 47
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 27
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 750
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2: 03/2003
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1: Child
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: 11
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42037.6556834375
Survey Code: MJ22
Location: E SHIELDS & N BLACKSTONE
Zip Code Map: 93726A
Interviewer: CATE CASA
Date & Time: 42033.34375
Sleeping location: Bus, train station, airport
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MIK WAR
Q5. Month and year of birth: 08/1980
Q6. Last four digits of SSN: 6849
Q9. How old are you?: 34
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 28
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD, Psychiatric/emotional condition, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3697751852
Survey Code: MM02
Location: BLACKSTONE & NEES
Zip Code Map: 93720
Interviewer: ROBYN RYAN
Date & Time: 42032.5763888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KAT KIN
Q5. Month and year of birth: 04/1996
Q6. Last four digits of SSN: REF
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 28
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4184322222
Survey Code: MC04
Location: S WINERY AVE & E KINGS CANYON RD
Zip Code Map: 93727B
Interviewer: LYNN PIMENTEL
Date & Time: 42032.5
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DAN REZ
Q5. Month and year of birth: 10/1965
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 28
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4850856829
Survey Code: MC24
Location: CEDAR & SHIELDS
Zip Code Map: 93727A
Interviewer: BEAU
Date & Time: 42032.5138888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GAR LAN
Q5. Month and year of birth: 12/1962
Q6. Last four digits of SSN: 1169
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 28
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, Ongoing health issue, Physical disability, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5567980093
Survey Code: SA03
Location: THIRD & THOMAS
Zip Code Map: 93702A
Interviewer: YVONNE
Date & Time: 42033.7708333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GXX MXX
Q5. Month and year of birth: DK
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: DK/REF
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: DK/REF
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 30
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6768840625
Survey Code: MJ25
Location: BELMONT & PARKWAY
Zip Code Map: 93728A
Interviewer: JAQUELINE ROSAS
Date & Time: 42033.7861111111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ALI ROD
Q5. Month and year of birth: 11/1978
Q6. Last four digits of SSN: REF
Q9. How old are you?: 36
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 30
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 30
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6185231597
Survey Code: AD18
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETTY
Date & Time: 42033.8333333333
Sleeping location: SHED
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROD MEN
Q5. Month and year of birth: 08/1975
Q6. Last four digits of SSN: REF
Q9. How old are you?: 39
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 30
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 45
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.537244456
Survey Code: MJ11
Location: SHAW & WEST
Zip Code Map: 93711B
Interviewer: DOREEN
Date & Time: 42032.4791666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RIV DRE
Q5. Month and year of birth: 09/1966
Q6. Last four digits of SSN: 4699
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 30
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 548
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4088931366
Survey Code: AB20
Location: TULARE & DIVISADERO
Zip Code Map: 93701B
Interviewer: SAM GILL
Date & Time: 42032.5888888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GER BAK
Q5. Month and year of birth: 10/1967
Q6. Last four digits of SSN: 3427
Q9. How old are you?: 47
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 30
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.657108125
Survey Code: MN26
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DAN BLY
Q5. Month and year of birth: 05/1959
Q6. Last four digits of SSN: 1732
Q9. How old are you?: 55
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 30
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6988634028
Survey Code: AB69
Location: TULARE & MAYOR
Zip Code Map: 93706
Interviewer: LANA K
Date & Time: 42032.7291666667
Sleeping location: Vehicle (car, van, RV, truck)
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CHA GOM
Q5. Month and year of birth: DK
Q6. Last four digits of SSN: DK
Q9. How old are you?: 19
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat, Black or AA, White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 120
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4940200926
Survey Code: MC26
Location: CALAVERAS & VOORMAN
Zip Code Map: 93701
Interviewer: GER THA
Date & Time: 42032.4722222222
Sleeping location: VILLAGE OF HOPE
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ANT MEJ
Q5. Month and year of birth: 12/1969
Q6. Last four digits of SSN: 8660
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat, White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 30
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: JOS MEJ
Q5. Month and year of birth2: 06/1980
Are you…: 25+
Q6. Last four digits of SSN3: 6955
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: Asian, White
Timestamp: 42037.6868487384
Survey Code: AB63
Location: TULARE & MAYOR
Zip Code Map: 93701
Interviewer: MIRACLE
Date & Time: 42032.7361111111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: XXX XXX
Q5. Month and year of birth: DK
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Asian
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 210
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5780304861
Survey Code: AB28
Location: BUTLER & NORTH
Zip Code Map: 93702B
Interviewer: DWAN
Date & Time: 42032.4736111111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LUP GAR
Q5. Month and year of birth: 08/1952
Q6. Last four digits of SSN: 8608
Q9. How old are you?: 62
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 30
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 9490
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, Ongoing health issue, Psychiatric/emotional condition, Physical disability, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6401891204
Survey Code: SB15
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.3472222222
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: YES VER
Q5. Month and year of birth: 06/1973
Q6. Last four digits of SSN: 809
Q9. How old are you?: 41
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 30
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.614899537
Survey Code: AD17
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETTY
Date & Time: 42033.8333333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ISA GAR
Q5. Month and year of birth: 03/1992
Q6. Last four digits of SSN: 9812
Q9. How old are you?: 22
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6645090509
Survey Code: MN29
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CAR ROD
Q5. Month and year of birth: 11/1953
Q6. Last four digits of SSN: 9992
Q9. How old are you?: 61
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 44
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.647870625
Survey Code: AB50
Location: 93727
Zip Code Map: 93727B
Interviewer: MELISSA MIKEL
Date & Time: 42032.8680555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CHR MER
Q5. Month and year of birth: 11/1987
Q6. Last four digits of SSN: DK
Q9. How old are you?: 26
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 60
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 150
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4648528356
Survey Code: AG21
Location: B ST. & MERCED
Zip Code Map: 93706
Interviewer: TAMARA DIAZ
Date & Time: 42032.4784722222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOS DEL
Q5. Month and year of birth: 10/1961
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: DK/REF
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 60
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 3650
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6417901505
Survey Code: LL20
Location: GOLDEN STATE & MCKINLEY
Zip Code Map: 93728B
Interviewer: FREDDIE
Date & Time: 42032.4166666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: HAE FRO
Q5. Month and year of birth: 09/1954
Q6. Last four digits of SSN: 2633
Q9. How old are you?: 59
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 60
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 120
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5771559838
Survey Code: AD08
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: CASSIE MORGAN
Date & Time: 42033.7361111111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TRE JON
Q5. Month and year of birth: 10/1977
Q6. Last four digits of SSN: 7242
Q9. How old are you?: 37
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 60
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 60
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5057048264
Survey Code: MJ5
Location: CEDAR & MILLBROOK
Zip Code Map: 93726B
Interviewer: DILEEP K SAIDU
Date & Time: 42032.4027777778
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: STA RIC
Q5. Month and year of birth: DK
Q6. Last four digits of SSN: 6662
Q9. How old are you?: 44
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 60
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 60
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6087699306
Survey Code: SB07
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: DK
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DES ROD
Q5. Month and year of birth: 04/1975
Q6. Last four digits of SSN: 6401
Q9. How old are you?: 39
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 60
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 3650
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4065204745
Survey Code: MM12
Location: 93726
Zip Code Map: 93726B
Interviewer: BEAU
Date & Time: 42032.4659722222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: WIL MOR
Q5. Month and year of birth: 05/1982
Q6. Last four digits of SSN: 3622
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 60
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5973528935
Survey Code: SA19
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4166666667
Sleeping location: SHED
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: EMM AIV
Q5. Month and year of birth: 01/1984
Q6. Last four digits of SSN: 4075
Q9. How old are you?: 31
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 60
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8318602083
Survey Code: AB14
Location: 93721
Zip Code Map: 93721A
Interviewer: AARON HALL
Date & Time: 42032.3340277778
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JES GON
Q5. Month and year of birth: 04/1988
Q6. Last four digits of SSN: 8426
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 60
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 4745
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use, PTSD, Psychiatric/emotional condition
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6386669444
Survey Code: AB46
Location: SHIELDS & WEST
Zip Code Map: 93705
Interviewer: LATASHA HOLLINS
Date & Time: 42032.4388888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RIC SAN
Q5. Month and year of birth: 10/1958
Q6. Last four digits of SSN: 3130
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 60
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5586739699
Survey Code: AD03
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: CASSIE MORGAN
Date & Time: 42033.875
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JER MUL
Q5. Month and year of birth: 04/1963
Q6. Last four digits of SSN: 8790
Q9. How old are you?: 51
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 60
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6601992245
Survey Code: AB53
Location: KINGS CANYON & CHESTNUT
Zip Code Map: 93727B
Interviewer: ANDREA DIAZ
Date & Time: 42033.8611111111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CLA ALL
Q5. Month and year of birth: 08/1987
Q6. Last four digits of SSN: 1715
Q9. How old are you?: 27
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 60
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Brain injury
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6319474074
Survey Code: AD22
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: MANNY BRAR
Date & Time: 42033.7881944444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAT LUM
Q5. Month and year of birth: DK
Q6. Last four digits of SSN: DK
Q9. How old are you?: 45
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 60
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6195034722
Survey Code: LL11
Location: NORTH & EAST AVE
Zip Code Map: 93706C
Interviewer: JENNIFER
Date & Time: 42032.5583333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAZ COI
Q5. Month and year of birth: 06/1995
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 18-24
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 270
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4837069329
Survey Code: JP29
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42032.4166666667
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RAP SOR
Q5. Month and year of birth: 10/1962
Q6. Last four digits of SSN: DK
Q9. How old are you?: 53
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 62
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?:
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3771690741
Survey Code: CM02
Location: SHIELDS & 1ST NEAR TARGET
Zip Code Map: 93726A
Interviewer: ANNA HECKER
Date & Time: 42033.75
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BEN GRE
Q5. Month and year of birth: 05/1980
Q6. Last four digits of SSN: 8976
Q9. How old are you?: 34
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 63
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 428
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4560488194
Survey Code: IG21
Location: PARKWAY & SHIELDS
Zip Code Map: 93722
Interviewer: YVONNE
Date & Time: 42032.5798611111
Sleeping location: PRIVATE PROPERTY
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JUS XXX
Q5. Month and year of birth: 6/1979
Q6. Last four digits of SSN: 1099
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Nat Hawaiian or Other Pacific Islander
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: DK/REF
Length of homeless episode (DAYS): 90
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD, Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: Yes
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.656891956
Survey Code: AB52
Location: KINGS CANYON & CHESTNUT
Zip Code Map: 93726B
Interviewer: ANDREA DIAZ
Date & Time: 42033.8472222222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GAB AVI
Q5. Month and year of birth: 04/1965
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 90
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: Yes
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7671335185
Survey Code: JK17
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.3645833333
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOS SAI
Q5. Month and year of birth: 06/1980
Q6. Last four digits of SSN: 7180
Q9. How old are you?: 34
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 90
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4344783218
Survey Code: AB22
Location: DIVISADARO & FIRST
Zip Code Map: 93701B
Interviewer: RAY
Date & Time: 42032.5833333333
Sleeping location: FRIEND
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KAR ELI
Q5. Month and year of birth: 01/1984
Q6. Last four digits of SSN: 3000
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 90
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 7
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: DK/REF
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6547268634
Survey Code: MN25
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOS TWI
Q5. Month and year of birth: 02/1975
Q6. Last four digits of SSN: 2030
Q9. How old are you?: 39
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 90
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5955158102
Survey Code: SA18
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4166666667
Sleeping location: SHED
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: FEL ORT
Q5. Month and year of birth: 01/1989
Q6. Last four digits of SSN: 6053
Q9. How old are you?: 26
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 90
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7945364236
Survey Code: ER04
Location: BLACKSTONE & DIVESADERO
Zip Code Map: 93728B
Interviewer: VINCENT RAMIREZ
Date & Time: 42032.4652777778
Sleeping location: POVERELLO
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: NAG GAR
Q5. Month and year of birth: 11/1974
Q6. Last four digits of SSN: 4077
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 90
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: Yes
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7957726736
Survey Code: JK24
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4027777778
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LOR LOP
Q5. Month and year of birth: 03/1969
Q6. Last four digits of SSN: 1646
Q9. How old are you?: 45
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 90
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4028494097
Survey Code: AG10
Location: 93701
Zip Code Map: 93701
Interviewer: SAM GILL
Date & Time: 42032.3395833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CHA MAX
Q5. Month and year of birth: 07/1954
Q6. Last four digits of SSN: DK
Q9. How old are you?: 60
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 90
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6292514468
Survey Code: AD21
Location: F STREET & SANTA CLARA
Zip Code Map: 93706
Interviewer: MANNY BRAR
Date & Time: 42033.8194444444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BRA VAV
Q5. Month and year of birth: 10/1953
Q6. Last four digits of SSN: 4987
Q9. How old are you?: 61
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 90
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4925760417
Survey Code: JP33
Location: FRESNO & E
Zip Code Map: 93706
Interviewer: M. THOMAS
Date & Time: 42032.3159722222
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RAN JEF
Q5. Month and year of birth: 04/1962
Q6. Last four digits of SSN: 4583
Q9. How old are you?: DK
Age: DK/REF
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: DK/REF
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 94
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6973440741
Survey Code: AB68
Location: TULARE & MAYOR
Zip Code Map: 93701
Interviewer: ANGELIC
Date & Time: 42032.71875
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CAT OWE
Q5. Month and year of birth: DK
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 18-24
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6774724421
Survey Code: MN32
Location: 93726
Zip Code Map: 93726B
Interviewer: DAWN
Date & Time: 42033.8715277778
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CHA ASN
Q5. Month and year of birth: 07/1960
Q6. Last four digits of SSN: 7813
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 120
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7989979398
Survey Code: ER05
Location: BLACKSTONE & DIVESADERO
Zip Code Map: 93728
Interviewer: VINCENT RAMIREZ
Date & Time: 42032.4791666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ANT ONY
Q5. Month and year of birth: 01/1976
Q6. Last four digits of SSN: 1963
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Asian, White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 120
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8863459606
Survey Code: ER15
Location: DIVISADERO & P
Zip Code Map: 93721A
Interviewer: ROBERT HUERTA
Date & Time: 42032.4583333333
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PAT HAM
Q5. Month and year of birth: 3/1968
Q6. Last four digits of SSN: 614
Q9. How old are you?: 46
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 120
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3658544907
Survey Code: MM01
Location: MILLBROOK & NEES
Zip Code Map: 93720
Interviewer: ROBYN RYAN
Date & Time: 42032.5902777778
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JEF KIL
Q5. Month and year of birth: 02/1996
Q6. Last four digits of SSN: 3954
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 120
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.630650787
Survey Code: MN18
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TED MCD
Q5. Month and year of birth: 07/1956
Q6. Last four digits of SSN: 9724
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 120
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4785943171
Survey Code: AB26
Location: S 1ST ST & E HUNTINGTON BLVD
Zip Code Map: 93702B
Interviewer: MARIA NUNEZ
Date & Time: 42032.5277777778
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PED GAR
Q5. Month and year of birth: 06/1957
Q6. Last four digits of SSN: 4662
Q9. How old are you?: 58
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 120
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4195646991
Survey Code: BV06
Location: KINGS CANYON & WINERY
Zip Code Map: 93727B
Interviewer: SKY MULLINS
Date & Time: 42032.5
Sleeping location: Vehicle (car, van, RV, truck)
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: FRA GON
Q5. Month and year of birth: 07/1963
Q6. Last four digits of SSN: 7802
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 120
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: DK/REF
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4864984144
Survey Code: JP30
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42032.4375
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LER DAV
Q5. Month and year of birth: 07/1964
Q6. Last four digits of SSN: DK
Q9. How old are you?: 50
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 124
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?:
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3990296528
Survey Code: IG08
Location: MARKS & DUDLEY
Zip Code Map: 93728
Interviewer: SIOBHAN EDMONDS
Date & Time: 42032.5833333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JUA BRA
Q5. Month and year of birth: 06/1953
Q6. Last four digits of SSN: REF
Q9. How old are you?: 62
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 150
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5064565046
Survey Code: AG33
Location: 93728
Zip Code Map: 93728
Interviewer: SIOBHAN EDMONDS
Date & Time: 42032.625
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR CAS
Q5. Month and year of birth: 04/1961
Q6. Last four digits of SSN: 2890
Q9. How old are you?: 53
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 150
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7366239005
Survey Code: JK11
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.3333333333
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ENR MEN
Q5. Month and year of birth: 05/1962
Q6. Last four digits of SSN: 1236
Q9. How old are you?: 52
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 150
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5795344792
Survey Code: SA11
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.9166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROB GUE
Q5. Month and year of birth: 10/1961
Q6. Last four digits of SSN: 8946
Q9. How old are you?: 53
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 150
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4357825579
Survey Code: IG16
Location: W BELMONT AVE & N GOLDEN STATE BLVD
Zip Code Map: 93728
Interviewer: CASSIE MORGAN
Date & Time: 42032.1388888889
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: VIN DEL
Q5. Month and year of birth: 09/1978
Q6. Last four digits of SSN: 1137
Q9. How old are you?: 36
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 150
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: JES DEL
Q5. Month and year of birth2: 11/1949
Are you…: 25+
Q6. Last four digits of SSN3: 106
Q7. Relation to Person 1: DK
Q8. Confirm you stayed with Person 1.: DK/REF
Q8a. Where were you staying?:
Q9. How old are you?4: 65
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42037.6921486921
Survey Code: LL44
Location: BLACKSTONE & HERNDON
Zip Code Map: 93720
Interviewer: MELISSA MILLER
Date & Time: 42033.7798611111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KIM BRA
Q5. Month and year of birth: 04/1977
Q6. Last four digits of SSN: DK
Q9. How old are you?: 37
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 150
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, PTSD, Psychiatric/emotional condition, Physical disability, Brain injury
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4798168634
Survey Code: MJ3
Location: 93726
Zip Code Map: 93726B
Interviewer: DILEEP K SAIDU
Date & Time: 42032.3958333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CHA MCN
Q5. Month and year of birth: 02/1970
Q6. Last four digits of SSN: 2732
Q9. How old are you?: 45
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 150
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Psychiatric/emotional condition, Physical disability, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4916969097
Survey Code: AG30
Location: W BELMONT AVE & N GOLDEN STATE BLVD
Zip Code Map: 93728
Interviewer: JEANNE
Date & Time: 42032.6423611111
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GAR DAV
Q5. Month and year of birth: 07/1967
Q6. Last four digits of SSN: DK
Q9. How old are you?: 50
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 150
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?:
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.601112419
Survey Code: MN09
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GOD HAR
Q5. Month and year of birth: 05/1956
Q6. Last four digits of SSN: 6909
Q9. How old are you?: 58
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 150
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6253290856
Survey Code: AB39
Location: CLINTON & WEBER
Zip Code Map: 93705
Interviewer: LATASHA HOLLINS
Date & Time: 41667.3916666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LMR
Q5. Month and year of birth: 06/1959
Q6. Last four digits of SSN: 1776
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Asian
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 150
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 4380
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5319278241
Survey Code: MJ10
Location: NEES & BLACKSTONE
Zip Code Map: 93711A
Interviewer: A. BREAR
Date & Time: 42032.4583333333
Sleeping location: BRIDGE
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: EDD BRI
Q5. Month and year of birth: 11/1967
Q6. Last four digits of SSN: REF
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 180
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4524806829
Survey Code: IG20
Location: SHAW & GOLDENSTATE
Zip Code Map: 93722
Interviewer: DANIELLE
Date & Time: 42032.4375
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MIC RIP
Q5. Month and year of birth: 04/1958
Q6. Last four digits of SSN: REF
Q9. How old are you?: 57
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: DK/REF
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.584738368
Survey Code: MN05
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: THO BYR
Q5. Month and year of birth: 09/1963
Q6. Last four digits of SSN: 9682
Q9. How old are you?: 51
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.78906875
Survey Code: AB09
Location: 93721
Zip Code Map: 93721A
Interviewer: AARON HALL
Date & Time: 42032.3541666667
Sleeping location: SEIELD ARENA
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PAU ANC
Q5. Month and year of birth: 06/1964
Q6. Last four digits of SSN: 9168
Q9. How old are you?: 50
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6994532176
Survey Code: LL47
Location: FULTON MALL & INYO
Zip Code Map: 93721A
Interviewer: LAURA LOPEZ
Date & Time: 42033.75
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KHE U
Q5. Month and year of birth: 05/1976
Q6. Last four digits of SSN: 8261
Q9. How old are you?: 38
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Asian
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6565547454
Survey Code: SB17
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DAN KOS
Q5. Month and year of birth: 12/1983
Q6. Last four digits of SSN: 5367
Q9. How old are you?: 31
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6458885417
Survey Code: LL22
Location: N 1ST ST & E THOMAS AVE
Zip Code Map: 93701A
Interviewer: JASON ADAMS
Date & Time: 42032.4881944444
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: EDN MCC
Q5. Month and year of birth: 02/1966
Q6. Last four digits of SSN: 3212
Q9. How old are you?: 48
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 180
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5629919792
Survey Code: SA05
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.9166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: NIX GON
Q5. Month and year of birth: 07/1977
Q6. Last four digits of SSN: 2796
Q9. How old are you?: 37
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5879174074
Survey Code: SA14
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOS MEJ
Q5. Month and year of birth: 06/1980
Q6. Last four digits of SSN: REF
Q9. How old are you?: 34
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: ANT ORT
Q5. Month and year of birth2: 12/1969
Are you…: 25+
Q6. Last four digits of SSN3: XXXX
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: 45
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: Am Ind or Alaska Nat
Timestamp: 42037.6481640046
Survey Code: LL23
Location: BLACKSTONE & OLIVE
Zip Code Map: 93728B
Interviewer: GER THAO
Date & Time: 42032.4006944444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RAY CRU
Q5. Month and year of birth: 04/1957
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7932321528
Survey Code: AB10
Location: TULARE & P ST
Zip Code Map: 93721A
Interviewer: ROBERT HUERTA
Date & Time: 42032.3854166667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GAR WIL
Q5. Month and year of birth: 12/1963
Q6. Last four digits of SSN: DK
Q9. How old are you?: 51
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 180
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use, PTSD, Brain injury
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8288103588
Survey Code: JK27
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ASH BOW
Q5. Month and year of birth: 09/1987
Q6. Last four digits of SSN: 7005
Q9. How old are you?: 27
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 840
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: ROB BOW
Q5. Month and year of birth2: 01/1967
Are you…: 25+
Q6. Last four digits of SSN3: 6636
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: SHEDS
Q9. How old are you?4: 47
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42037.6817862732
Survey Code: AB60
Location: TULARE & MAYOR
Zip Code Map: 93701
Interviewer: NAR KENNEDY
Date & Time: 42032.7263888889
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KYL ESQ
Q5. Month and year of birth: DK
Q6. Last four digits of SSN: DK
Q9. How old are you?: 28
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: DK/REF
Race: DK/REF
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?:
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6088597801
Survey Code: MN11
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: NOL MOR
Q5. Month and year of birth: 09/1975
Q6. Last four digits of SSN: 6820
Q9. How old are you?: 39
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7886516667
Survey Code: JK22
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.3819444444
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAD RIC
Q5. Month and year of birth: 04/1993
Q6. Last four digits of SSN: 5933
Q9. How old are you?: 21
Age: 18-24
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: DK/REF
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3836335185
Survey Code: JP05
Location: 93721
Zip Code Map: 93721A
Interviewer: ROBERT HUERTA
Date & Time: 42032.5625
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PET ALV
Q5. Month and year of birth: 09/1980
Q6. Last four digits of SSN: 2462
Q9. How old are you?: 34
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 186
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5753309259
Survey Code: SA09
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.9166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JES LUD
Q5. Month and year of birth: 07/1971
Q6. Last four digits of SSN: 9782
Q9. How old are you?: 43
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 210
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.620759537
Survey Code: MN14
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DEB DAV
Q5. Month and year of birth: 12/1965
Q6. Last four digits of SSN: 8761
Q9. How old are you?: 49
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 210
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.7228776157
Survey Code: MN44
Location: 93706
Zip Code Map: 93706
Interviewer: AMBER
Date & Time: 42033.8333333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: NOR CAN
Q5. Month and year of birth: 03/1977
Q6. Last four digits of SSN: 5057
Q9. How old are you?: 37
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 210
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6471320949
Survey Code: MN22
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LOR KAN
Q5. Month and year of birth: 10/1960
Q6. Last four digits of SSN: 3380
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 210
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 3285
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6371306481
Survey Code: MN20
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOS MEN
Q5. Month and year of birth: 01/1989
Q6. Last four digits of SSN: 2843
Q9. How old are you?: 26
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 210
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4042016088
Survey Code: IG10
Location: 93728
Zip Code Map: 93728
Interviewer: SIOBHAN EDMONDS
Date & Time: 42032.4069444444
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TER LUE
Q5. Month and year of birth: 6/1960
Q6. Last four digits of SSN: 503
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 210
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6031987963
Survey Code: SA21
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: HAR KOE
Q5. Month and year of birth: 12/1956
Q6. Last four digits of SSN: 8872
Q9. How old are you?: 58
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Asian
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 210
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4834792477
Survey Code: AG27
Location: N MILLBROOK AVE & E DAKOTA AVE
Zip Code Map: 93706
Interviewer: JODY KERCHESIDE
Date & Time: 42032.3958333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CHA BRA
Q5. Month and year of birth: 12/1974
Q6. Last four digits of SSN: 5302
Q9. How old are you?: 40
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 210
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4683393403
Survey Code: MC19
Location: SHIELDS & CEDAR
Zip Code Map: 93726B
Interviewer: DILEEP K SAIDER
Date & Time: 42032.5902777778
Sleeping location: Vehicle (car, van, RV, truck)
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DUA OKE
Q5. Month and year of birth: 11/1957
Q6. Last four digits of SSN: 5836
Q9. How old are you?: 58
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 210
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, PTSD, Psychiatric/emotional condition, Physical disability, Brain injury
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5519704745
Survey Code: SA01
Location: TULARE & FIRST
Zip Code Map: 93701A
Interviewer: ANDREA SHARPE
Date & Time: 42033.3125
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DAW SMI
Q5. Month and year of birth: 05/1964
Q6. Last four digits of SSN: 3983
Q9. How old are you?: 50
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 210
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use, Ongoing health issue, PTSD, Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4792225926
Survey Code: AG26
Location: FRESNO & E. ST
Zip Code Map: 93706
Interviewer: TAMARA DIAZ
Date & Time: 42032.5555555556
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ARM RAN
Q5. Month and year of birth: 08/1956
Q6. Last four digits of SSN: 8127
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 210
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 30
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4765600232
Survey Code: JK02
Location: CEDAR & SHIELDS
Zip Code Map: 93703
Interviewer: JEZRA LORENZO
Date & Time: 42032.5416666667
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CED EID
Q5. Month and year of birth: 4/1993
Q6. Last four digits of SSN: 3364
Q9. How old are you?: 21
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 240
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8364103241
Survey Code: JK29
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4583333333
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROB THM
Q5. Month and year of birth: 11/1960
Q6. Last four digits of SSN: 5078
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 240
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4225314352
Survey Code: MC05
Location: KINGS CANYON & WINERY
Zip Code Map: 93727B
Interviewer: SKYLON MULLINS
Date & Time: 42032.5
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAD DEA
Q5. Month and year of birth: 10/1990
Q6. Last four digits of SSN: 4356
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 240
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.687100162
Survey Code: MJ27
Location: OLIVE & HUGHES
Zip Code Map: 93728A
Interviewer: JUAN
Date & Time: 42033.8229166667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ZAC GUS
Q5. Month and year of birth: 06/1972
Q6. Last four digits of SSN: 2454
Q9. How old are you?: 41
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 240
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4971896296
Survey Code: MC27
Location: 93701
Zip Code Map: 93701A
Interviewer: RAY
Date & Time: 42032.4895833333
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RUT HCH
Q5. Month and year of birth: 09/1974
Q6. Last four digits of SSN: 4526
Q9. How old are you?: 40
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 240
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?:
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6958320486
Survey Code: AB77
Location: TULARE & MAYOR
Zip Code Map: 93701
Interviewer: ELIZABETH MORALES
Date & Time: 42032.71875
Sleeping location: YARD OF A HOME
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MIC ERO
Q5. Month and year of birth: 10/1990
Q6. Last four digits of SSN: 7653
Q9. How old are you?: DK
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 210
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4605765509
Survey Code: IG22
Location: HERNDON & BLACKSTONE
Zip Code Map: 93720
Interviewer: MARIANNE LE COMPTE
Date & Time: 42032.5194444444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOH BOL
Q5. Month and year of birth: 10/1964
Q6. Last four digits of SSN: 1868
Q9. How old are you?: 50
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 240
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?:
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: TER FAN
Q5. Month and year of birth2: 11/1979
Are you…: 25+
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: 35
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: Am Ind or Alaska Nat
Timestamp: 42033.8424109954
Survey Code: JK30
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.46875
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TER STU
Q5. Month and year of birth: 12/1960
Q6. Last four digits of SSN: 5832
Q9. How old are you?: 54
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 270
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5899792477
Survey Code: SA15
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4166666667
Sleeping location: SHED
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: EDM PAT
Q5. Month and year of birth: 11/1953
Q6. Last four digits of SSN: 1918
Q9. How old are you?: 61
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 270
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6113820949
Survey Code: SA24
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CAS VIL
Q5. Month and year of birth: 09/1992
Q6. Last four digits of SSN: 4299
Q9. How old are you?: 22
Age: 18-24
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 30
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6886247801
Survey Code: AB64
Location: TULARE & MAYOR
Zip Code Map: 93701
Interviewer: ANGELIC
Date & Time: 42032.7291666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ANG JAI
Q5. Month and year of birth: 08/1996
Q6. Last four digits of SSN: DK
Q9. How old are you?: 18
Age: 18-24
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 32
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 30
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6370895949
Survey Code: SB14
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.3541666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BOB ROD
Q5. Month and year of birth: 12/1963
Q6. Last four digits of SSN: 9440
Q9. How old are you?: 51
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Black or AA, White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 270
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 90
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6330429282
Survey Code: SB13
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.3645833333
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JUL VEL
Q5. Month and year of birth: 10/1960
Q6. Last four digits of SSN: 7161
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 270
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6951613426
Survey Code: MJ29
Location: 93728
Zip Code Map: 93728A
Interviewer: JUAN
Date & Time: 42033.7291666667
Sleeping location: CEMETARY
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAM LEW
Q5. Month and year of birth: 01/1983
Q6. Last four digits of SSN: 4692
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 270
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: RAY HOD
Q5. Month and year of birth2: 11/1974
Are you…: 25+
Q6. Last four digits of SSN3: REF
Q7. Relation to Person 1: BOYFRIEND
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42037.581795081
Survey Code: SA12
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.9166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CAR SAL
Q5. Month and year of birth: 07/1961
Q6. Last four digits of SSN: 4502
Q9. How old are you?: 53
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 280
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 1825
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, PTSD, Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8169236111
Survey Code: JK26
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4097222222
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ADD DAV
Q5. Month and year of birth: REF
Q6. Last four digits of SSN: REF
Q9. How old are you?: 28
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 300
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5757518518
Survey Code: AB27
Location: BACKER & THOMAS
Zip Code Map: 93702A
Interviewer: JAIME SANDEZ
Date & Time: 42032.5833333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DEB WHI
Q5. Month and year of birth: 09/1965
Q6. Last four digits of SSN: 3804
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 300
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8129921412
Survey Code: ER05
Location: OLIVE & WEBER
Zip Code Map: 93728B
Interviewer: GER THAO
Date & Time: 42032.0520833333
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR MAR
Q5. Month and year of birth: 01/1967
Q6. Last four digits of SSN: 4139
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat, White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 322
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4973644676
Survey Code: IG32
Location: 93726
Zip Code Map: 93726
Interviewer: DAWN
Date & Time: 42032.3958333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: EDW GON
Q5. Month and year of birth: DK
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 330
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: VIN TOR
Q5. Month and year of birth2: 10/1957
Are you…: 25+
Q6. Last four digits of SSN3: 932
Q7. Relation to Person 1: NON FAMILY
Q8. Confirm you stayed with Person 1.: DK/REF
Q8a. Where were you staying?:
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: Am Ind or Alaska Nat
Timestamp: 42037.3795358449
Survey Code: AG04
Location: 93701
Zip Code Map: 93701
Interviewer: JASON ADAMS
Date & Time: 42032.375
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DAV RUI
Q5. Month and year of birth: 02/1956
Q6. Last four digits of SSN: 5566
Q9. How old are you?: 58
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 330
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.683966169
Survey Code: LL41
Location: HERNDON & BLACKSTONE
Zip Code Map: 93610
Interviewer: LATASHA HOLLINS
Date & Time: 42033.7708333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BEJ KAY
Q5. Month and year of birth: 06/1991
Q6. Last four digits of SSN: 2216
Q9. How old are you?: DK
Age: 18-24
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 344
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: RAN STI
Q5. Month and year of birth2: 08/1982
Are you…: 25+
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: STREET
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42037.6678099653
Survey Code: SA44
Location: N FULTON ST & E THOMAS AVE
Zip Code Map: 93728B
Interviewer: ERIN SHELTON
Date & Time: 42033.8354166667
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROB VAN
Q5. Month and year of birth: 11/1969
Q6. Last four digits of SSN: 498
Q9. How old are you?: 45
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 355
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 1825
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7453413079
Survey Code: JK13
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.375
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAM CRA
Q5. Month and year of birth: 01/1972
Q6. Last four digits of SSN: 7621
Q9. How old are you?: 43
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3969853472
Survey Code: AG08
Location: 93701
Zip Code Map: 93701
Interviewer: SAM GILL
Date & Time: 42032.3451388889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR ROD
Q5. Month and year of birth: 05/1962
Q6. Last four digits of SSN: 71
Q9. How old are you?: 52
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: PAU GOM
Q5. Month and year of birth2: 06/1964
Are you…: 25+
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: STREET
Q9. How old are you?4: 50
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: Am Ind or Alaska Nat, White
Timestamp: 42037.5811292014
Survey Code: AD09
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: CASSIE MORGAN
Date & Time: 42033.7361111111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LEE JIM
Q5. Month and year of birth: 06/1980
Q6. Last four digits of SSN: 9260
Q9. How old are you?: 34
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.554180463
Survey Code: MJ14
Location: CEDAR & DAKOTA
Zip Code Map: 93726
Interviewer: DILEEP K SAIDU
Date & Time: 42032.4305555556
Sleeping location: BEHIND STORE (CRICKET)
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PAV KEN
Q5. Month and year of birth: 12/1961
Q6. Last four digits of SSN: 5783
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6688753819
Survey Code: LL34
Location: CEDAR & DAKOTA
Zip Code Map: 93726B
Interviewer: CHRISTINE
Date & Time: 42033.8680555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: VER JAI
Q5. Month and year of birth: 01/1993
Q6. Last four digits of SSN: 6150
Q9. How old are you?: 22
Age: 18-24
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 180
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3780616782
Survey Code: IG03
Location: MARKS & ASHLAN
Zip Code Map: 93728
Interviewer: CASSIE MORGAN
Date & Time: 42032.4166666667
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROY EDW
Q5. Month and year of birth: 03/1960
Q6. Last four digits of SSN: 8660
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3767456829
Survey Code: MM03
Location: BLACKSTONE & NEES
Zip Code Map: 93720
Interviewer: ROBYN RYAN
Date & Time: 42032.5694444444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: AMB FRA
Q5. Month and year of birth: 07/1987
Q6. Last four digits of SSN: 8470
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: BIL
Q5. Month and year of birth2:
Are you…: DK
Q6. Last four digits of SSN3: 9854
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: ON STREET
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42033.871181493
Survey Code: ER13
Location: 93721
Zip Code Map: 93721B
Interviewer: ROBERT
Date & Time: 42032.59375
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CAR TOR
Q5. Month and year of birth: 11/1951
Q6. Last four digits of SSN: REF
Q9. How old are you?: 63
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5758895949
Survey Code: LL01
Location: 93710
Zip Code Map: 93710
Interviewer: Mary Jo
Date & Time: 42032.5625
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PAV ESP
Q5. Month and year of birth: 01/1961
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3933319213
Survey Code: JP08
Location: 93721
Zip Code Map: 93721A
Interviewer: AARON HALL
Date & Time: 42032.5625
Sleeping location: WANDERING
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ART TEL
Q5. Month and year of birth: 06/1989
Q6. Last four digits of SSN: 9570
Q9. How old are you?: 25
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use, PTSD, Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7641496991
Survey Code: JK16
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.3611111111
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LIS BAB
Q5. Month and year of birth: 08/1965
Q6. Last four digits of SSN: 8856
Q9. How old are you?: 49
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6334739815
Survey Code: LL17
Location: SHIELDS & CRYSTAL
Zip Code Map: 93705
Interviewer: LATOSHA
Date & Time: 42032.4916666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAM JAC
Q5. Month and year of birth: 05/1953
Q6. Last four digits of SSN: 8616
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 300
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6352219907
Survey Code: MJ18
Location: CEDAR & SHIELDS
Zip Code Map: 93726B
Interviewer: MASICA JOSE
Date & Time: 42032.3902777778
Sleeping location: Vehicle (car, van, RV, truck)
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CAR JOS
Q5. Month and year of birth: 07/1960
Q6. Last four digits of SSN: 8014
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6187090972
Survey Code: AB37
Location: E BULTER AVE & S MAPLE AVE
Zip Code Map: 93702B
Interviewer: SUSAN
Date & Time: 42032.3736111111
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: STE ROM
Q5. Month and year of birth: 02/1994
Q6. Last four digits of SSN: 7728
Q9. How old are you?: DK
Age: 18-24
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: ANS ROD
Q5. Month and year of birth2: 05/1993
Are you…: 18-24
Q6. Last four digits of SSN3: 450
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: PARK
Q9. How old are you?4:
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: Am Ind or Alaska Nat
Timestamp: 42037.5731984954
Survey Code: SA08
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.9166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RIC WAI
Q5. Month and year of birth: 07/1964
Q6. Last four digits of SSN: DK
Q9. How old are you?: 50
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: JEN WAL
Q5. Month and year of birth2: 11/1966
Are you…: 25+
Q6. Last four digits of SSN3: XXXX
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: 48
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42033.8603285301
Survey Code: ER11
Location: SANTA CLARA & H ST.
Zip Code Map: 93721B
Interviewer: ROBERT HUERTA
Date & Time: 42032.6173611111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SEM BUS
Q5. Month and year of birth: 08/1957
Q6. Last four digits of SSN: 5803
Q9. How old are you?: 58
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6638951157
Survey Code: SA42
Location: BLACKSTONE & OLIVE
Zip Code Map: 93728B
Interviewer: ERIN SHELTON
Date & Time: 42033.8645833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOH MEN
Q5. Month and year of birth: 02/1987
Q6. Last four digits of SSN: 5405
Q9. How old are you?: 27
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 910
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5911441667
Survey Code: AB34
Location: ORANGE & HAMILTON
Zip Code Map: 93702B
Interviewer: RUBEN CUEVA
Date & Time: 42032.4583333333
Sleeping location: Vehicle (car, van, RV, truck)
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ANT YEP
Q5. Month and year of birth: 09/1986
Q6. Last four digits of SSN: 4712
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat, White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7784337153
Survey Code: JK20
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.3472222222
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PAT MER
Q5. Month and year of birth: 09/1951
Q6. Last four digits of SSN: 3971
Q9. How old are you?: 63
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 3650
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6121237037
Survey Code: MN12
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAO DUA
Q5. Month and year of birth: 08/1967
Q6. Last four digits of SSN: 2955
Q9. How old are you?: 45
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6592870949
Survey Code: MN27
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GRE LAN
Q5. Month and year of birth: 06/1952
Q6. Last four digits of SSN: 2768
Q9. How old are you?: 62
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 545
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5501404861
Survey Code: MJ13
Location: CEDAR & ASHLAN
Zip Code Map: 93726B
Interviewer: DILEEP K SANDU
Date & Time: 42032.5729166667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAV TOR
Q5. Month and year of birth: 02/1971
Q6. Last four digits of SSN: 2760
Q9. How old are you?: REF
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6603651042
Survey Code: LL29
Location: VAN NESS & BELMONT
Zip Code Map: 93728B
Interviewer: ERIN SHELTON
Date & Time: 42033.7395833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: REN XXX
Q5. Month and year of birth: 08/1982
Q6. Last four digits of SSN: 3713
Q9. How old are you?: 33
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 3650
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use, Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4024396412
Survey Code: AB19
Location: E SHIELDS & N BLACKSTONE
Zip Code Map: 93726A
Interviewer: MARIANNA LECOMPTE
Date & Time: 42033.8381944444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RON DUC
Q5. Month and year of birth: 05/1950
Q6. Last four digits of SSN: 1423
Q9. How old are you?: 64
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 2920
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5054275579
Survey Code: JP38
Location: 93706
Zip Code Map: 93706
Interviewer: M. THOMAS
Date & Time: 42032.5416666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DAN FLO
Q5. Month and year of birth: 02/1944
Q6. Last four digits of SSN: 931
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.7125140162
Survey Code: MN40
Location: 93706
Zip Code Map: 93706
Interviewer: AMBER
Date & Time: 42033.775
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JER EAR
Q5. Month and year of birth: 08/1958
Q6. Last four digits of SSN: 883
Q9. How old are you?: 56
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 5475
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4857526157
Survey Code: AG28
Location: N MILLBROOK AVE & E DAKOTA AVE
Zip Code Map: 93706
Interviewer: JODY KETCHESIDE
Date & Time: 42032.3541666667
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: FAL TFG
Q5. Month and year of birth: 01/1964
Q6. Last four digits of SSN: 0
Q9. How old are you?: 50
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Nat Hawaiian or Other Pacific Islander
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4241880324
Survey Code: BV07
Location: KINGS CANYON & WINERY
Zip Code Map: 93727B
Interviewer: MIKE
Date & Time: 42032.4791666667
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MOS WAT
Q5. Month and year of birth: 06/1973
Q6. Last four digits of SSN: 7549
Q9. How old are you?: 41
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3708831829
Survey Code: AG02
Location: 93701
Zip Code Map: 93701
Interviewer: RAY CARVEON
Date & Time: 42032.3784722222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RON GAR
Q5. Month and year of birth: 10/1949
Q6. Last four digits of SSN: 7033
Q9. How old are you?: 58
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Ongoing health issue, Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4069501042
Survey Code: IG11
Location: OLIVE & WARREN
Zip Code Map: 93728
Interviewer: SIOHBAN EDMONDS
Date & Time: 42032.4513888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MIC WAR
Q5. Month and year of birth: 12/1947
Q6. Last four digits of SSN: 1334
Q9. How old are you?: 72
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability, Brain injury
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4691348032
Survey Code: IG25
Location: HERNDON & 41
Zip Code Map: 93720
Interviewer: SHANNON WELSH
Date & Time: 42032.5125
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GLO GAR
Q5. Month and year of birth: 08/1950
Q6. Last four digits of SSN: REF
Q9. How old are you?: 64
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6389988657
Survey Code: MJ19
Location: N BLACKSTONE & E SHIELDS AVE
Zip Code Map: 93726A
Interviewer: CAFE CARA?
Date & Time: 42032.3333333333
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SHE ROB
Q5. Month and year of birth: 1962-10-01
Q6. Last four digits of SSN: 5644
Q9. How old are you?: 52
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4125763079
Survey Code: IG12
Location: WHITE & WARREN
Zip Code Map: 93728
Interviewer: SIOBHAN EDMONDS
Date & Time: 42032.4798611111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ORL WAT
Q5. Month and year of birth: 8/1967
Q6. Last four digits of SSN: 6630
Q9. How old are you?: 47
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: CHO ADE
Q5. Month and year of birth2: 10/1996
Are you…: 18-24
Q6. Last four digits of SSN3: 7605
Q7. Relation to Person 1: DK
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: 18
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: Black or AA
Timestamp: 42033.3856277431
Survey Code: BV03
Location: CLOVIS & BALCH BUS STOP
Zip Code Map: 93727B
Interviewer: NICOLE HENSON
Date & Time: 42032.4423611111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PET YAN
Q5. Month and year of birth: 07/1962
Q6. Last four digits of SSN: REF
Q9. How old are you?: 52
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Nat Hawaiian or Other Pacific Islander
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?:
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4430155556
Survey Code: BV11
Location: 93703
Zip Code Map: 93703
Interviewer: GIANT FAN
Date & Time: 42032.3458333333
Sleeping location: PARKING LOT
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ELI SNE
Q5. Month and year of birth: 06/1982
Q6. Last four digits of SSN: 9866
Q9. How old are you?: 33
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6601713426
Survey Code: SB18
Location: 93726
Zip Code Map: 93726
Interviewer: DEBRA BORJAS
Date & Time: 42032.3958333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SUS OTT
Q5. Month and year of birth: 04/1965
Q6. Last four digits of SSN: 3890
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6221553935
Survey Code: SB10
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.3819444444
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RUB CAS
Q5. Month and year of birth: 05/1960
Q6. Last four digits of SSN: 1617
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3911823032
Survey Code: IG06
Location: W BELMONT AVE & N GOLDEN STATE BLVD
Zip Code Map: 93728
Interviewer: JEANNE
Date & Time: 42032.1041666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: WIL WIL
Q5. Month and year of birth: 06/1985
Q6. Last four digits of SSN: REF
Q9. How old are you?: 29
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6279743982
Survey Code: MN17
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DUT EPP
Q5. Month and year of birth: 12/1968
Q6. Last four digits of SSN: 296
Q9. How old are you?: 46
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6382383912
Survey Code: LL18
Location: THORNE & SAGINAW
Zip Code Map: 93705
Interviewer: LATOSHA
Date & Time: 42032.5083333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 3
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TER SHO
Q5. Month and year of birth: 10/1965
Q6. Last four digits of SSN: 4995
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: JON SHO
Q5. Month and year of birth2: 02/1991
Are you…: 18-24
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Child
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: STREET
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42037.6656156482
Survey Code: LL32
Location: DAKOTA & CEDAR
Zip Code Map: 93726B
Interviewer: CHRISTINE
Date & Time: 42033.8770833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TRE KEN
Q5. Month and year of birth: 11/1961
Q6. Last four digits of SSN: 5738
Q9. How old are you?: 53
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4071914236
Survey Code: JP11
Location: FRESNO & F ST
Zip Code Map: 93706
Interviewer: SAMANTHA DIAZ
Date & Time: 42032.5625
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ALB
Q5. Month and year of birth: 11/1964
Q6. Last four digits of SSN: 1104
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6117541088
Survey Code: AD16
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: NO
Date & Time: 42033.4166666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: WHI LEE
Q5. Month and year of birth: 03/1987
Q6. Last four digits of SSN: 8525
Q9. How old are you?: 27
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1460
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5873972569
Survey Code: AB33
Location: ORANGE & HAMILTON
Zip Code Map: 93702B
Interviewer: MARIA NUNEZ
Date & Time: 42032.4583333333
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LUI BAR
Q5. Month and year of birth: 07/1968
Q6. Last four digits of SSN: DK
Q9. How old are you?: 46
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use, Ongoing health issue
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5875905787
Survey Code: LL04
Location: N FRESNO ST. & E KEATS AVE
Zip Code Map: 93710
Interviewer: MARIA R. LOPEZ
Date & Time: 42032.5833333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOS HER
Q5. Month and year of birth: 01/1968
Q6. Last four digits of SSN: 4470
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4717165394
Survey Code: BV17
Location: JENSEN & 99
Zip Code Map: 93725
Interviewer: JONATHAN OLDEN
Date & Time: 42032.4513888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROB BRO
Q5. Month and year of birth: 09/1989
Q6. Last four digits of SSN: 24
Q9. How old are you?: 25
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7887103472
Survey Code: ER03
Location: BLACKSTONE & MCKINLEY
Zip Code Map: 93728
Interviewer: VINCENT RAMIREZ
Date & Time: 42032.4097222222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: STE GAR
Q5. Month and year of birth: 04/1967
Q6. Last four digits of SSN: 934
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 150
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4036717477
Survey Code: MM11
Location: MAPLE & SHIELDS
Zip Code Map: 93726B
Interviewer: BEAU
Date & Time: 42032.4166666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TAV VAI
Q5. Month and year of birth: 10/1964
Q6. Last four digits of SSN: 0
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Nat Hawaiian or Other Pacific Islander
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6035119792
Survey Code: MN10
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KEN BAR
Q5. Month and year of birth: 10/1962
Q6. Last four digits of SSN: 7340
Q9. How old are you?: 52
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 395
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8351139005
Survey Code: AB15
Location: 93721
Zip Code Map: 93721A
Interviewer: ROBERT HUERTA
Date & Time: 42032.3458333333
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SAL SAN
Q5. Month and year of birth: 11/1988
Q6. Last four digits of SSN: 6796
Q9. How old are you?: 26
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 395
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 180
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6754822685
Survey Code: AB59
Location: TULARE & MAYOR
Zip Code Map: 93701
Interviewer: MIRANE
Date & Time: 42032.9097222222
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAM HOL
Q5. Month and year of birth: 08/1974
Q6. Last four digits of SSN: 6130
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 420
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.7088360995
Survey Code: LL50
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LAURA LOPEZ
Date & Time: 42033.8645833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: FER MED
Q5. Month and year of birth: 01/1971
Q6. Last four digits of SSN: 8042
Q9. How old are you?: 44
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 425
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 425
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6213607523
Survey Code: AD19
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: NO
Date & Time: 42033.4166666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DOU DIT
Q5. Month and year of birth: 04/1955
Q6. Last four digits of SSN: 9912
Q9. How old are you?: 59
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 425
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5916998611
Survey Code: SA16
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: REB HAR
Q5. Month and year of birth: 11/1951
Q6. Last four digits of SSN: 9196
Q9. How old are you?: 63
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 480
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6352826157
Survey Code: AD23
Location: VENTURA & F STREET
Zip Code Map: 93706
Interviewer: MANNY BRAR
Date & Time: 42033.8055555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: QUI KIL
Q5. Month and year of birth: 07/1983
Q6. Last four digits of SSN: 7885
Q9. How old are you?: 31
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Nat Hawaiian or Other Pacific Islander
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 510
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 510
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.7043538542
Survey Code: LL48
Location: VENTURA & F ST
Zip Code Map: 93706
Interviewer: KRISTA HERNANDEZ
Date & Time: 42033.8958333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 3
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SAN SAN
Q5. Month and year of birth: 07/1983
Q6. Last four digits of SSN: 1135
Q9. How old are you?: 31
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 510
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: PHI HAR
Q5. Month and year of birth2: DK
Are you…: 25+
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: STREET
Q9. How old are you?4: 55
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42037.5795856018
Survey Code: LL02
Location: FRESNO & SHAW
Zip Code Map: 93710
Interviewer: MARY JO
Date & Time: 42032.5833333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: IJL GOM
Q5. Month and year of birth: 01/1968
Q6. Last four digits of SSN: 751
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 545
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability, Brain injury
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6139242593
Survey Code: LL09
Location: FRESNO & SHAW
Zip Code Map: 93710
Interviewer: ROSDLYN FUNES
Date & Time: 42032.5729166667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RIC TRU
Q5. Month and year of birth: 05/1972
Q6. Last four digits of SSN: DK
Q9. How old are you?: 46
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: DK/REF
Race: DK/REF
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 545
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6645903588
Survey Code: AD29
Location: VENTURA & F STREET
Zip Code Map: 93706
Interviewer: CARLIE YANG
Date & Time: 42033.8763888889
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAT SAL
Q5. Month and year of birth: 02/1987
Q6. Last four digits of SSN: 9549
Q9. How old are you?: 27
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: DK/REF
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 545
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6615810301
Survey Code: MN28
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: FRA SAL
Q5. Month and year of birth: 11/1973
Q6. Last four digits of SSN: REF
Q9. How old are you?: 50
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 545
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5035227199
Survey Code: IG34
Location: 93726
Zip Code Map: 93726
Interviewer: YADI
Date & Time: 42032.3972222222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROB VAS
Q5. Month and year of birth: 10/1958
Q6. Last four digits of SSN: 20025
Q9. How old are you?: 56
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 545
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 4380
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6259840509
Survey Code: MN16
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: FAB URW
Q5. Month and year of birth: 05/1969
Q6. Last four digits of SSN: 5995
Q9. How old are you?: 45
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 545
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 180
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4395415625
Survey Code: AG14
Location: SHAW & MARTY
Zip Code Map: 93722
Interviewer: LEAH HAYMOND
Date & Time: 42032.3680555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAV GAL
Q5. Month and year of birth: 03/1955
Q6. Last four digits of SSN: 4571
Q9. How old are you?: 58
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: DK/REF
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 545
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 545
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.7070095602
Survey Code: LL49
Location: F ST & VENTURA
Zip Code Map: 93706
Interviewer: LAURA LOPEZ
Date & Time: 42033.875
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ALF DEL
Q5. Month and year of birth: 02/1974
Q6. Last four digits of SSN: 8215
Q9. How old are you?: 40
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 545
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6133579977
Survey Code: SA25
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JIM SMI
Q5. Month and year of birth: 07/1983
Q6. Last four digits of SSN: 7210
Q9. How old are you?: 31
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 545
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5782119213
Survey Code: MN04
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LIS CCI
Q5. Month and year of birth: 10/1979
Q6. Last four digits of SSN: 2550
Q9. How old are you?: 35
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 545
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3999669329
Survey Code: AB18
Location: SHIELDS & FIRST
Zip Code Map: 93726A
Interviewer: MARIANNA LECOMPTE
Date & Time: 42033.7666666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ANG GUN
Q5. Month and year of birth: 12/1953
Q6. Last four digits of SSN: 9976
Q9. How old are you?: 61
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 547
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1589
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD, Physical disability, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.582321331
Survey Code: AB30
Location: BUTLER & 4TH
Zip Code Map: 93702B
Interviewer: MARIA NUNEZ
Date & Time: 42032.4583333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MIK MAD
Q5. Month and year of birth: 11/1972
Q6. Last four digits of SSN: 8397
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 547
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, Ongoing health issue, PTSD, Psychiatric/emotional condition, Physical disability, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42038.4547846644
Survey Code: AB70
Location: W BELMONT AVE & N GOLDEN STATE BLVD
Zip Code Map: 93728A
Interviewer: JEANEY
Date & Time: 42032.625
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RUD MED
Q5. Month and year of birth: 10/1970
Q6. Last four digits of SSN: 5319
Q9. How old are you?: 44
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 548
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6147743866
Survey Code: SB08
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOH WOO
Q5. Month and year of birth: 03/1962
Q6. Last four digits of SSN: 9324
Q9. How old are you?: 52
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 548
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6533096412
Survey Code: AB51
Location: BELMONT & CHESTNUT
Zip Code Map: 93727B
Interviewer: ANDREA DIAZ
Date & Time: 42033.8263888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: VIC RUI
Q5. Month and year of birth: 08/1964
Q6. Last four digits of SSN: 5704
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 548
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1825
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: DK/REF
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: MAN LOP
Q5. Month and year of birth2: DK
Are you…: DK
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: FRIEND
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42033.7663953472
Survey Code: AB05
Location: 93721
Zip Code Map: 93721A
Interviewer: JIMMY DELATORRE
Date & Time: 42032.4444444444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KEI HEB
Q5. Month and year of birth: 08/1961
Q6. Last four digits of SSN: DK
Q9. How old are you?: 53
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 548
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6444480903
Survey Code: MJ20
Location: SHIELDS & FISHER
Zip Code Map: 93726A
Interviewer: CATE CASA
Date & Time: 42033.75
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KEN CON
Q5. Month and year of birth: 03/1989
Q6. Last four digits of SSN: REF
Q9. How old are you?: 25
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 548
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 3650
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use, PTSD, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: STE HUM
Q5. Month and year of birth2: 08/1989
Are you…: 25+
Q6. Last four digits of SSN3: REF
Q7. Relation to Person 1: Other Family
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: 1
Q9. How old are you?4: 25
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42037.6040095602
Survey Code: SB06
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KER COY
Q5. Month and year of birth: 07/1954
Q6. Last four digits of SSN: 7847
Q9. How old are you?: 60
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 548
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 2190
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6821932176
Survey Code: SB23
Location: N GLENN AVE & E PRINCETON AVE
Zip Code Map: 93704
Interviewer: BRIAN
Date & Time: 42032.4479166667
Sleeping location: Vehicle (car, van, RV, truck)
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: STA OOK
Q5. Month and year of birth: 06/1985
Q6. Last four digits of SSN: 4655
Q9. How old are you?: 29
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 548
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, Ongoing health issue, PTSD, Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6924322917
Survey Code: SB25
Location: FEDORA & COLLEGE
Zip Code Map: 93704
Interviewer: CATE CASA
Date & Time: 42032.4958333333
Sleeping location: PARKING LOT OFF FEDORA
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PAU TUR
Q5. Month and year of birth: 11/1963
Q6. Last four digits of SSN: 4713
Q9. How old are you?: 51
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 548
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 3650
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4201506713
Survey Code: JP12
Location: MONO & F ST
Zip Code Map: 93706
Interviewer: JULIAN GARZA
Date & Time: 42032.3576388889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SEV AIR
Q5. Month and year of birth: 01/1990
Q6. Last four digits of SSN: 1993
Q9. How old are you?: 25
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 551
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?:
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8021200463
Survey Code: AB12
Location: R ST & MARIPOSA ST
Zip Code Map: 93721A
Interviewer: MELISSA
Date & Time: 42032.3527777778
Sleeping location: SELLAND ARENA
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LEO HOP
Q5. Month and year of birth: 06/1967
Q6. Last four digits of SSN: 7004
Q9. How old are you?: 48
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 635
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 635
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4466519907
Survey Code: BV12
Location: 93705
Zip Code Map: 93705
Interviewer: GIANT FAN
Date & Time: 42032.3611111111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LUI
Q5. Month and year of birth: 04/1966
Q6. Last four digits of SSN: DK
Q9. How old are you?: 48
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 650
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: DK/REF
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3800132755
Survey Code: JP04
Location: 1325 Broadway Plz, Fresno, CA 93721
Zip Code Map: 93721
Interviewer: MELISSA
Date & Time: 42032.56875
Sleeping location: Under bridge/overpass
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KAT KAT
Q5. Month and year of birth: 1961-01-01
Q6. Last four digits of SSN: 8409
Q9. How old are you?: 54
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 660
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 660
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4889654167
Survey Code: AG29
Location: W BELMONT AVE & N GOLDEN STATE BLVD
Zip Code Map: 93728
Interviewer: JEANNE
Date & Time: 42032.6354166667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ARN FLO
Q5. Month and year of birth: 02/1960
Q6. Last four digits of SSN: 7058
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 710
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6541637847
Survey Code: SA38
Location: FIRST & TULARE
Zip Code Map: 93701B
Interviewer: ESTHER
Date & Time: 42033.7222222222
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GIO SAV
Q5. Month and year of birth: 09/1991
Q6. Last four digits of SSN: 3740
Q9. How old are you?: 23
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 30
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 545
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3951075116
Survey Code: MM08
Location: CEDAR & SHIELDS
Zip Code Map: 93726B
Interviewer: BEAU THOMAS
Date & Time: 42032.3819444444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BRI BEE
Q5. Month and year of birth: 03/1968
Q6. Last four digits of SSN: 535
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6406148032
Survey Code: MN21
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ARL NOR
Q5. Month and year of birth: 03/1958
Q6. Last four digits of SSN: 149
Q9. How old are you?: 57
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6063701389
Survey Code: RG22
Location: SHIELDS & VALENTINE
Zip Code Map: 93637
Interviewer: HERBERT ROSS
Date & Time: 42032.4430555556
Sleeping location: GARAGE
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RAY GAR
Q5. Month and year of birth: 09/1973
Q6. Last four digits of SSN: 9593
Q9. How old are you?: 41
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: DK/REF
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4807806481
Survey Code: IG29
Location: NEES & FIRST
Zip Code Map: 93720
Interviewer: SHARON ANDRADE
Date & Time: 42032.4006944444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAC HER
Q5. Month and year of birth: 11/1978
Q6. Last four digits of SSN: 4463
Q9. How old are you?: 36
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6459226852
Survey Code: AB49
Location: E LANE AVE & S WILLOW AVE
Zip Code Map: 93727B
Interviewer: DOREEN ELEY
Date & Time: 42033.8819444444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: WIL PRO
Q5. Month and year of birth: 05/1970
Q6. Last four digits of SSN: 8495
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat, White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5936004977
Survey Code: SA17
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: APR SMI
Q5. Month and year of birth: 07/1960
Q6. Last four digits of SSN: 5422
Q9. How old are you?: 54
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, PTSD, Psychiatric/emotional condition, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6271677083
Survey Code: AB40
Location: CLINTON & WEBER
Zip Code Map: 93705
Interviewer: ANDREA GARCIA
Date & Time: 42032.3923611111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAY POW
Q5. Month and year of birth: 12/1975
Q6. Last four digits of SSN: 7133
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6657779977
Survey Code: SA43
Location: OLIVE & BLACKSTONE
Zip Code Map: 93728B
Interviewer: REVERTO VALDEZ
Date & Time: 42033.8541666667
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: STE ELD
Q5. Month and year of birth: 02/1982
Q6. Last four digits of SSN: 8084
Q9. How old are you?: 32
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6356581482
Survey Code: SA32
Location: 93701
Zip Code Map: 93701A
Interviewer: ESTHER
Date & Time: 42033.8166666667
Sleeping location: PLANNED PARENTHOOD
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TRA JOH
Q5. Month and year of birth: 01/1971
Q6. Last four digits of SSN: 6072
Q9. How old are you?: 44
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use, Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7813232407
Survey Code: ER02
Location: OLIVE & CARUTH
Zip Code Map: 93728
Interviewer: V. RAMIREZ
Date & Time: 6616397.34375
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR SCA
Q5. Month and year of birth: 07/1986
Q6. Last four digits of SSN: 368
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4001697338
Survey Code: AG09
Location: 93701
Zip Code Map: 93701
Interviewer: JASON ADAMS
Date & Time: 42032.3333333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RAY ROD
Q5. Month and year of birth: 1967-11-01
Q6. Last four digits of SSN: 3970
Q9. How old are you?: 49
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 180
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Ongoing health issue, PTSD, Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6401555787
Survey Code: AB47
Location: SHIELDS & WEST
Zip Code Map: 93705
Interviewer: ANDREA GARCIA
Date & Time: 42032.4479166667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DAV MAR
Q5. Month and year of birth: 06/1961
Q6. Last four digits of SSN: 8392
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Ongoing health issue, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3902229514
Survey Code: JP07
Location: 93721
Zip Code Map: 93721A
Interviewer: AARON HALL
Date & Time: 42032.5763888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DEW COR
Q5. Month and year of birth: 04/1987
Q6. Last four digits of SSN: 5740
Q9. How old are you?: 27
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Asian, Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, Psychiatric/emotional condition, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5022967593
Survey Code: JP37
Location: 93706
Zip Code Map: 93706
Interviewer: M. THOMAS
Date & Time: 42032.5451388889
Sleeping location: Under bridge/overpass
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CHR OLS
Q5. Month and year of birth: 12/1978
Q6. Last four digits of SSN: 7175
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, Psychiatric/emotional condition, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.414972581
Survey Code: MC03
Location: WINERY & KINGS CANYON
Zip Code Map: 93727B
Interviewer: NICOLE HENSON
Date & Time: 42032.5833333333
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RYA VAS
Q5. Month and year of birth: 02/1989
Q6. Last four digits of SSN: DK
Q9. How old are you?: 29
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: NIC VAS
Q5. Month and year of birth2: 06/1985
Are you…: 25+
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: BOYFRIEND
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: 25
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42033.8403615972
Survey Code: AB16
Location: 93721
Zip Code Map: 93721A
Interviewer: ROBERT HUERTA
Date & Time: 42032.3819444444
Sleeping location: Under bridge/overpass
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JER WRI
Q5. Month and year of birth: 04/1977
Q6. Last four digits of SSN: 8816
Q9. How old are you?: 38
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: DK/REF
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: DK/REF
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5659196644
Survey Code: MN02
Location: OLIVE & CHESTNUT
Zip Code Map: 93702A
Interviewer: ANDREA
Date & Time: 42033.7430555556
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PHA KEO
Q5. Month and year of birth: 04/1967
Q6. Last four digits of SSN: 8187
Q9. How old are you?: 48
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Asian
Served in the US Armed Forces: DK/REF
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: X
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4651667477
Survey Code: MC18
Location: 93706
Zip Code Map: 93706C
Interviewer: CARRIE
Date & Time: 42032.5409722222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR DEL
Q5. Month and year of birth: 05/1958
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.730211632
Survey Code: JK10
Location: N MILLBROOK AVE & E DAKOTA AVE
Zip Code Map: 93726
Interviewer: ROBERT HUERTA
Date & Time: 42033.7083333333
Sleeping location: FRONT YARD
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR YOU
Q5. Month and year of birth: 12/1959
Q6. Last four digits of SSN: REF
Q9. How old are you?: 55
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3800120718
Survey Code: MM04
Location: 93720
Zip Code Map: 93720A
Interviewer: AIMEE BIRD
Date & Time: 42032.3298611111
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MIC HAN
Q5. Month and year of birth: 01/1973
Q6. Last four digits of SSN: REF
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5223232176
Survey Code: MJ7
Location: CEDAR & SHIELDS
Zip Code Map: 93726B
Interviewer: DILEEP K SAIDU
Date & Time: 42032.375
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TAM
Q5. Month and year of birth: 10/1964
Q6. Last four digits of SSN: REF
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5763156944
Survey Code: SB02
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: DK
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOS GAR
Q5. Month and year of birth: 08/1991
Q6. Last four digits of SSN: DK
Q9. How old are you?: 23
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: DK/REF
Length of homeless episode (DAYS): 60
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4659999537
Survey Code: JP24
Location: 93706
Zip Code Map: 93706
Interviewer: M. THOMAS
Date & Time: 42032.4479166667
Sleeping location: Under bridge/overpass
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: NAD QUE
Q5. Month and year of birth: 08/1955
Q6. Last four digits of SSN: 3378
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4894496065
Survey Code: IG31
Location: EFFIE & ASHLAN
Zip Code Map: 93726
Interviewer: SYLVIA GONZALEZ
Date & Time: 42032.5833333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PAV LIO
Q5. Month and year of birth: DK
Q6. Last four digits of SSN: DK
Q9. How old are you?: 49
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 90
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7536283449
Survey Code: AB04
Location: OLIVE & FRUIT
Zip Code Map: 93728B
Interviewer: VINCENT KIM
Date & Time: 42032.5833333333
Sleeping location: TENT
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TIM OVE
Q5. Month and year of birth: 02/1975
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6243695255
Survey Code: SA28
Location: 93728
Zip Code Map: 93728A
Interviewer: GLADYS
Date & Time: 42033.2972222222
Sleeping location: RAILROAD TRACKS
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TRI THR
Q5. Month and year of birth: 09/1966
Q6. Last four digits of SSN: 2606
Q9. How old are you?: 48
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: TED ROC
Q5. Month and year of birth2: REF
Are you…: 25+
Q6. Last four digits of SSN3: REF
Q7. Relation to Person 1: ROOMATE
Q8. Confirm you stayed with Person 1.: No
Q8a. Where were you staying?: RV
Q9. How old are you?4: 53
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42037.3970724421
Survey Code: JP09
Location: H & VENTURA
Zip Code Map: 93721B
Interviewer: ROBERT
Date & Time: 42006.6104166667
Sleeping location: SHANTY
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TAM WIN
Q5. Month and year of birth: 10/1970
Q6. Last four digits of SSN: 9733
Q9. How old are you?: 44
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6720842824
Survey Code: LL36
Location: CEDAR & DAKOTA
Zip Code Map: 93726B
Interviewer: CHRISTINE
Date & Time: 42033.8645833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LUI MED
Q5. Month and year of birth: 11/1991
Q6. Last four digits of SSN: 9020
Q9. How old are you?: 23
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 605
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4625025926
Survey Code: AG20
Location: W BELMONT AVE & N PARKWAY DR
Zip Code Map: 93706
Interviewer: TAMARA DIAZ
Date & Time: 42032.4166666667
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RON CAL
Q5. Month and year of birth: 11/1958
Q6. Last four digits of SSN: 8426
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6569857639
Survey Code: AD27
Location: 93721
Zip Code Map: 93721A
Interviewer: CARLIE YANG
Date & Time: 42033.7541666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: FEL HER
Q5. Month and year of birth: 02/1965
Q6. Last four digits of SSN: 7304
Q9. How old are you?: 49
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6664788426
Survey Code: MN30
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MIC PAT
Q5. Month and year of birth: 10/1974
Q6. Last four digits of SSN: 7123
Q9. How old are you?: 40
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 3650
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5838042824
Survey Code: AB31
Location: BUTLER & ORANGE
Zip Code Map: 93702B
Interviewer: MARIA NUNEZ
Date & Time: 42032.4409722222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PAR
Q5. Month and year of birth: 05/1979
Q6. Last four digits of SSN: 6117
Q9. How old are you?: 36
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5670021644
Survey Code: SA06
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.9166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LIS RIC
Q5. Month and year of birth: 10/1979
Q6. Last four digits of SSN: 3485
Q9. How old are you?: 43
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7396751968
Survey Code: JK12
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.3333333333
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SAN ENS
Q5. Month and year of birth: 10/1970
Q6. Last four digits of SSN: 2315
Q9. How old are you?: 44
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Asian
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7700656134
Survey Code: JK18
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.34375
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOE HER
Q5. Month and year of birth: 06/1962
Q6. Last four digits of SSN: 2171
Q9. How old are you?: 53
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6379813657
Survey Code: AD24
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: MANNY BRAR
Date & Time: 42033.75
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JUA GON
Q5. Month and year of birth: 05/1969
Q6. Last four digits of SSN: 8566
Q9. How old are you?: 45
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4411391551
Survey Code: MC10
Location: B ST & GROVE AVE
Zip Code Map: 93706
Interviewer: VY
Date & Time: 42032.3847222222
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOS MOO
Q5. Month and year of birth: 12/1964
Q6. Last four digits of SSN: 6658
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6898074653
Survey Code: MJ28
Location: BELMONT & MARKS
Zip Code Map: 93728A
Interviewer: JOAN SOHO
Date & Time: 42033.8055555556
Sleeping location: CLINTON WEBER
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JUA ALV
Q5. Month and year of birth: 11/1981
Q6. Last four digits of SSN: 4145
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?:
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.5617880324
Survey Code: JK06
Location: SHAW & VALENTINE
Zip Code Map: 93711B
Interviewer: DOREEN ELEY
Date & Time: 42032.3645833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KLY RUS
Q5. Month and year of birth: 11/1970
Q6. Last four digits of SSN: 6053
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: AMB VIL
Q5. Month and year of birth2: 02/1985
Are you…: 25+
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: I STREET
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42037.6013606366
Survey Code: SA20
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4166666667
Sleeping location: SHED
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GAI ROC
Q5. Month and year of birth: 11/1960
Q6. Last four digits of SSN: 3868
Q9. How old are you?: 54
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?:
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Physical disability, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: PHI ROC
Q5. Month and year of birth2: 11/1963
Are you…: 25+
Q6. Last four digits of SSN3: 1567
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: SHED
Q9. How old are you?4: 51
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42033.3941858218
Survey Code: MC02
Location: KINGS CANYON & CLOVIS
Zip Code Map: 93727B
Interviewer: MYCOL SOLIS
Date & Time: 42032.4375
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: NAT RIC
Q5. Month and year of birth: 11/1982
Q6. Last four digits of SSN: 4025
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: ASH MIL
Q5. Month and year of birth2: 05/1987
Are you…: 25+
Q6. Last four digits of SSN3: 3715
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: Am Ind or Alaska Nat
Timestamp: 42033.7486718634
Survey Code: AB03
Location: OLIVE & WISHON
Zip Code Map: 93728B
Interviewer: VINCENT KIM
Date & Time: 42032.59375
Sleeping location: POVERELLO HOUSE
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PET SAL
Q5. Month and year of birth: 04/1960
Q6. Last four digits of SSN: 6615
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5950314005
Survey Code: MN07
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAY JUS
Q5. Month and year of birth: 04/1967
Q6. Last four digits of SSN: 5331
Q9. How old are you?: 39
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6941659028
Survey Code: AB66
Location: TULARE & MAYOR
Zip Code Map: 93701
Interviewer: ELIZABETH MORALES
Date & Time: 42032.7395833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BUT JOR
Q5. Month and year of birth: 08/1991
Q6. Last four digits of SSN: 4050
Q9. How old are you?: DK
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 913
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4274599769
Survey Code: IG14
Location: W BELMONT AVE & N GOLDEN STATE BLVD
Zip Code Map: 93728
Interviewer: CASSIE MORGAN
Date & Time: 42032.4166666667
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LON FAM
Q5. Month and year of birth: 10/1972
Q6. Last four digits of SSN: DK
Q9. How old are you?: 44
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Asian
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 1086
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6267967593
Survey Code: LL14
Location: 93706
Zip Code Map: 93706
Interviewer: CARRIE
Date & Time: 42032.4020833333
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JRE REM
Q5. Month and year of birth: 05/1961
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: LIN BAI
Q5. Month and year of birth2: 1964
Are you…: 25+
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: ABANDONED BUILDING
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42037.6235283102
Survey Code: LL13
Location: CHURCH & MLK
Zip Code Map: 93706
Interviewer: JENNIFER
Date & Time: 42032.4027777778
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RAP CHA
Q5. Month and year of birth: 07/1960
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 790
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3692800463
Survey Code: IG01
Location: W BELMONT AVE & N GOLDEN STATE BLVD
Zip Code Map: 93728
Interviewer: CASSIE MORGAN
Date & Time: 42032.4791666667
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CHI LAS
Q5. Month and year of birth: 12/1954
Q6. Last four digits of SSN: 8747
Q9. How old are you?: 60
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 820
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3757729745
Survey Code: AG03
Location: 93701
Zip Code Map: 93701
Interviewer: ESTER CARNEGIE
Date & Time: 42032.3722222222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SON ROC
Q5. Month and year of birth: 04/1966
Q6. Last four digits of SSN: 9122
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 910
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 910
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6837572338
Survey Code: AD35
Location: 93721
Zip Code Map: 93721A
Interviewer: ROBERT HUERTE
Date & Time: 42033.75
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GAR BRI
Q5. Month and year of birth: 02/1957
Q6. Last four digits of SSN: 9773
Q9. How old are you?: 57
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 910
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.7130430093
Survey Code: LL51
Location: FULTON & INYO
Zip Code Map: 93721A
Interviewer: ROBERTO HUERTA
Date & Time: 42033.7534722222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: WIL MAC
Q5. Month and year of birth: 02/1956
Q6. Last four digits of SSN: 7296
Q9. How old are you?: 58
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 910
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 2555
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: BAR SMI
Q5. Month and year of birth2: 02/1968
Are you…: 25+
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: STREET
Q9. How old are you?4: 47
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: Black or AA
Timestamp: 42037.5743687384
Survey Code: AD07
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: MICHAEL VANG
Date & Time: 42033.75
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAD ELL
Q5. Month and year of birth: 10/1955
Q6. Last four digits of SSN: 47
Q9. How old are you?: 59
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 910
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 4380
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?:
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6291957292
Survey Code: SB12
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: FRA GAR
Q5. Month and year of birth: 12/1958
Q6. Last four digits of SSN: 9559
Q9. How old are you?: 57
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 913
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6187847338
Survey Code: SB09
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.3819444444
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: AND AME
Q5. Month and year of birth: 09/1967
Q6. Last four digits of SSN: 6478
Q9. How old are you?: 47
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 913
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6703001157
Survey Code: AB56
Location: TULARE & MAYOR
Zip Code Map: 93701
Interviewer: JACQUELYN ESPINOSA
Date & Time: 42032.7916666667
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 4
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ALE OSL
Q5. Month and year of birth: 11/1992
Q6. Last four digits of SSN: 7341
Q9. How old are you?: 22
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): DK
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 90
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: DAV SON
Q5. Month and year of birth2: DK
Are you…: 18-24
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: 22
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42037.4244462153
Survey Code: JP13
Location: MONO & F ST
Zip Code Map: 93706
Interviewer: JULIAN GARZA
Date & Time: 42032.3506944444
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MLS AVL
Q5. Month and year of birth: 09/1971
Q6. Last four digits of SSN: 6419
Q9. How old are you?: 43
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 916
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.7209192014
Survey Code: MN43
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: AMBER
Date & Time: 42033.78125
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ANG HER
Q5. Month and year of birth: 12/1986
Q6. Last four digits of SSN: 5621
Q9. How old are you?: 28
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 2920
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD, Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4384641435
Survey Code: MC09
Location: 93703
Zip Code Map: 93703
Interviewer: GIANTS FAN
Date & Time: 42032.4305555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: NAT
Q5. Month and year of birth: 12/1986
Q6. Last four digits of SSN: 8996
Q9. How old are you?: 24
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?:
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Brain injury
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4727906366
Survey Code: AG24
Location: G ST. & INYO
Zip Code Map: 93706
Interviewer: TAMARA DIAZ
Date & Time: 42032.5763888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR LUN
Q5. Month and year of birth: 03/1970
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5980453125
Survey Code: AD14
Location: FRESNO & C STREET
Zip Code Map: 93706
Interviewer: MICHAEL
Date & Time: 42033.8958333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: WIL JEF
Q5. Month and year of birth: 11/1967
Q6. Last four digits of SSN: 777
Q9. How old are you?: 47
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6533199421
Survey Code: AD26
Location: 93721
Zip Code Map: 93721B
Interviewer: CARLIE YANG
Date & Time: 42033.8125
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAN GAR
Q5. Month and year of birth: 08/1954
Q6. Last four digits of SSN: 8504
Q9. How old are you?: 60
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4493748958
Survey Code: IG19
Location: GOLDEN STATE & ASHLAN
Zip Code Map: 93722
Interviewer: LAURA LOPEZ
Date & Time: 42032.5555555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SCO KID
Q5. Month and year of birth: 06/1989
Q6. Last four digits of SSN: 6134
Q9. How old are you?: 25
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: DK
Q5. Month and year of birth2: 02/1986
Are you…: 25+
Q6. Last four digits of SSN3: XXXX
Q7. Relation to Person 1: DK
Q8. Confirm you stayed with Person 1.: DK/REF
Q8a. Where were you staying?:
Q9. How old are you?4: 27
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: Asian
Timestamp: 42037.6704140394
Survey Code: AD31
Location: G STREET & VENTURA
Zip Code Map: 93706
Interviewer: ROBERTO
Date & Time: 42033.9097222222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAM BEL
Q5. Month and year of birth: 10/1970
Q6. Last four digits of SSN: 9508
Q9. How old are you?: 44
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Ongoing health issue, PTSD, Psychiatric/emotional condition, Physical disability, Brain injury
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.411533993
Survey Code: AG11
Location: MCKENZIE & BLACKSTONE
Zip Code Map: 93701
Interviewer: SAM GILL
Date & Time: 42032.3194444444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JIM SAB
Q5. Month and year of birth: 11/1958
Q6. Last four digits of SSN: 4939
Q9. How old are you?: 55
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Ongoing health issue, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: MAR SHO
Q5. Month and year of birth2: 12/1962
Are you…: 25+
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: CARLS JR. PARKING LOT
Q9. How old are you?4: 52
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42033.4874394097
Survey Code: JK03
Location: JENSEN & NORTH
Zip Code Map: 93725
Interviewer: PAT ANLAUT
Date & Time: 42032.3979166667
Sleeping location: TENT
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BEN KUA
Q5. Month and year of birth: 11/1960
Q6. Last four digits of SSN: 7801
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Asian
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: Yes
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6737888889
Survey Code: AB58
Location: TULARE & MAYOR
Zip Code Map: 93721
Interviewer: SARA RIOS
Date & Time: 42032.8958333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LUP AIV
Q5. Month and year of birth: 03/1974
Q6. Last four digits of SSN: 7531
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat, Asian
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: DK/REF
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5544489931
Survey Code: SA02
Location: MILLBROOK & OLIVE
Zip Code Map: 93701A
Interviewer: ANDREA SHARPE
Date & Time: 42033.2847222222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOH LOP
Q5. Month and year of birth: 12/1961
Q6. Last four digits of SSN: 8714
Q9. How old are you?: 53
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: DK/REF
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6234248264
Survey Code: MN15
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ASH WEE
Q5. Month and year of birth: 01/1992
Q6. Last four digits of SSN: 9341
Q9. How old are you?: 23
Age: 18-24
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4629235648
Survey Code: JP23
Location: MONO & F ST
Zip Code Map: 93706
Interviewer: JULIAN GARZA
Date & Time: 42063.3263888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JEA EYU
Q5. Month and year of birth: 09/1979
Q6. Last four digits of SSN: 8225
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.673158287
Survey Code: AD32
Location: MARIPOSA & O STREET
Zip Code Map: 93721A
Interviewer: KRISTA HERNANDEZ
Date & Time: 42033.7916666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DAV BRO
Q5. Month and year of birth: 11/1961
Q6. Last four digits of SSN: 8191
Q9. How old are you?: 53
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8674742361
Survey Code: ER12
Location: VENTURA & H
Zip Code Map: 93721B
Interviewer: ROBERT HUERTA
Date & Time: 42032.6104166667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: OFE HEA
Q5. Month and year of birth: 02/2015
Q6. Last four digits of SSN: 7943
Q9. How old are you?: 49
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7974499884
Survey Code: AB11
Location: SAN JUADUIN & H
Zip Code Map: 93721A
Interviewer: ROBERT HUERTA
Date & Time: 42032.5555555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LUP ALV
Q5. Month and year of birth: 03/1974
Q6. Last four digits of SSN: 7531
Q9. How old are you?: 40
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7856948843
Survey Code: JK21
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.3680555556
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROB GRE
Q5. Month and year of birth: 08/1962
Q6. Last four digits of SSN: 5887
Q9. How old are you?: 52
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 3650
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4407447106
Survey Code: JP18
Location: 93706
Zip Code Map: 93706
Interviewer: JULIAN GARZA
Date & Time: 42032.3958333333
Sleeping location: COTTON GIN
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GAN HER
Q5. Month and year of birth: 07/1977
Q6. Last four digits of SSN: 5373
Q9. How old are you?: 35
Age: 25+
Gender: Transgender Male to Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.3799186111
Survey Code: BV02
Location: E LANE AVE & S WILLOW AVE
Zip Code Map: 93727B
Interviewer: NICOLE HENSON
Date & Time: 42032.3541666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JIN KEL
Q5. Month and year of birth: 07/1979
Q6. Last four digits of SSN: 4506
Q9. How old are you?: 35
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5914706482
Survey Code: AD12
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: MICHAEL VANG
Date & Time: 42033.8333333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR BLA
Q5. Month and year of birth: 02/1961
Q6. Last four digits of SSN: 2501
Q9. How old are you?: 53
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 180
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5856426736
Survey Code: AB32
Location: ORANGE & HAMILTON
Zip Code Map: 93702B
Interviewer: MARIA NUNEZ
Date & Time: 42032.4576388889
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DEV NOR
Q5. Month and year of birth: 08/1972
Q6. Last four digits of SSN: 952
Q9. How old are you?: 42
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6311463542
Survey Code: LL16
Location: CEDAR & DAYTON
Zip Code Map: 93726B
Interviewer: JASON ARROYOS
Date & Time: 42032.4513888889
Sleeping location: DK
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: G K
Q5. Month and year of birth: 11/1960
Q6. Last four digits of SSN: 3345
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Physical disability, Brain injury
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.457917963
Survey Code: JP22
Location: FRESNO & E ST
Zip Code Map: 93706
Interviewer: JULIAN GARZA
Date & Time: 42032.5451388889
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ALB ARR
Q5. Month and year of birth: 09/1955
Q6. Last four digits of SSN: DK
Q9. How old are you?: 59
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?:
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5802259144
Survey Code: AB29
Location: BUTLER & 4TH
Zip Code Map: 93702B
Interviewer: MARIA NUNEZ
Date & Time: 42032.4583333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR GOZ
Q5. Month and year of birth: 07/1970
Q6. Last four digits of SSN: 1772
Q9. How old are you?: 45
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3877382986
Survey Code: AG06
Location: 93701
Zip Code Map: 93701
Interviewer: JASON ADAMS
Date & Time: 42032.3611111111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BAU GOM
Q5. Month and year of birth: 06/1964
Q6. Last four digits of SSN: 1333
Q9. How old are you?: 50
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Brain injury
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4726013889
Survey Code: MC21
Location: 93706
Zip Code Map: 93706C
Interviewer: JENNIFER
Date & Time: 42032.4972222222
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RIC FRO
Q5. Month and year of birth: 07/1955
Q6. Last four digits of SSN: 5538
Q9. How old are you?: 59
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?:
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4446952778
Survey Code: AB23
Location: DIVISADARO & FIRST
Zip Code Map: 93701B
Interviewer: RAY
Date & Time: 42032.5965277778
Sleeping location: STAMIDA
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOH JIM
Q5. Month and year of birth: 08/1965
Q6. Last four digits of SSN: 581
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6568846991
Survey Code: SA39
Location: 93701
Zip Code Map: 93701B
Interviewer: DIEGO
Date & Time: 42033.7472222222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: VIC REN
Q5. Month and year of birth: 11/1962
Q6. Last four digits of SSN: 4258
Q9. How old are you?: 52
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: Yes
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6316196991
Survey Code: AB42
Location: SHIELDS & WEST
Zip Code Map: 93705
Interviewer: LATASHA HOLLINS
Date & Time: 42032.3333333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RON CAL
Q5. Month and year of birth: 05/1985
Q6. Last four digits of SSN: 8573
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 120
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.387203125
Survey Code: JP06
Location: 93721
Zip Code Map: 93721A
Interviewer: ARON HALL
Date & Time: 42032.5833333333
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAM MAR
Q5. Month and year of birth: 10/1962
Q6. Last four digits of SSN: 8424
Q9. How old are you?: 52
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4146958912
Survey Code: AB21
Location: FIRST & DIVISADERO
Zip Code Map: 93701B
Interviewer: ESTHER
Date & Time: 42032.5833333333
Sleeping location: wHEELCHAIR STORE
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GRE DOU
Q5. Month and year of birth: 12/1964
Q6. Last four digits of SSN: 374
Q9. How old are you?: 50
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1095
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Ongoing health issue, PTSD, Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: JAM
Q5. Month and year of birth2: DK
Are you…: DK
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: 8. WHEELCHAIR STORE
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42033.8382290625
Survey Code: GM02
Location: STANISLAUS & VANNESS
Zip Code Map: 93721A
Interviewer: ROBERT HUERTA
Date & Time: 42032.5027777778
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DEN PEN
Q5. Month and year of birth: 04/1988
Q6. Last four digits of SSN: 6538
Q9. How old are you?: 26
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1155
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4664404745
Survey Code: IG24
Location: FIRST & NEES
Zip Code Map: 93720
Interviewer: GILBERT HOLLINS
Date & Time: 42032.3888888889
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROS GUT
Q5. Month and year of birth: 03/1975
Q6. Last four digits of SSN: 9433
Q9. How old are you?: 39
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1275
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.798342662
Survey Code: JK25
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4097222222
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SER HER
Q5. Month and year of birth: 01/1974
Q6. Last four digits of SSN: 2552
Q9. How old are you?: 41
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1275
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6090168981
Survey Code: AB35
Location: ORANGE & ORLEANS
Zip Code Map: 93702B
Interviewer: SUSAN
Date & Time: 42032.4479166667
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR MAR
Q5. Month and year of birth: 10/1979
Q6. Last four digits of SSN: 1728
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1277
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Ongoing health issue, PTSD, Psychiatric/emotional condition, Physical disability, Brain injury
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: SHA MOR
Q5. Month and year of birth2: 05/1970
Are you…: 25+
Q6. Last four digits of SSN3: 1664
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: ABANDONED BUILDING
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42037.6437570949
Survey Code: SB16
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: TAMARA DIAZ
Date & Time: 42032.3472222222
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CAR DEC
Q5. Month and year of birth: 03/1965
Q6. Last four digits of SSN: 9503
Q9. How old are you?: 49
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1278
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4523649884
Survey Code: JP20
Location: MERCED & B ST
Zip Code Map: 93706
Interviewer: JULIAN GARZA
Date & Time: 42063.4722222222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LOR JEN
Q5. Month and year of birth: 08/1966
Q6. Last four digits of SSN: 8293
Q9. How old are you?: 48
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat, White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1281
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6773627315
Survey Code: AD33
Location: FULTON & INYO
Zip Code Map: 93721A
Interviewer: NO
Date & Time: 42033.7583333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BAR SMI
Q5. Month and year of birth: 02/1968
Q6. Last four digits of SSN: 2636
Q9. How old are you?: 46
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1350
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1350
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Psychiatric/emotional condition, Physical disability, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3731058218
Survey Code: IG02
Location: W BELMONT AVE & N GOLDEN STATE BLVD
Zip Code Map: 93728
Interviewer: CASSIE MORGAN
Date & Time: 42032.4166666667
Sleeping location: Abandoned building
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR GIN
Q5. Month and year of birth: 09/1966
Q6. Last four digits of SSN: 3890
Q9. How old are you?: 47
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1460
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.599305162
Survey Code: SB05
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SAM STE
Q5. Month and year of birth: 08/1963
Q6. Last four digits of SSN: 1800
Q9. How old are you?: 51
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1460
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6862364931
Survey Code: LL42
Location: SHAW & ANGUS
Zip Code Map: 93710
Interviewer: DK
Date & Time: 42032.8611111111
Sleeping location: CANAL
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOH MUS
Q5. Month and year of birth: 11/1950
Q6. Last four digits of SSN: DK
Q9. How old are you?: 64
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 1462
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4518573264
Survey Code: BV13
Location: TULARE & ARGYLE
Zip Code Map: 93727B
Interviewer: MIKE
Date & Time: 42032.5
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: EDW ENG
Q5. Month and year of birth: 01/1961
Q6. Last four digits of SSN: 2498
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.584085463
Survey Code: SA13
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: HEA DEB
Q5. Month and year of birth: 08/1989
Q6. Last four digits of SSN: REF
Q9. How old are you?: 23
Age: 18-24
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 5475
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5660940625
Survey Code: AD05
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: MICHAEL
Date & Time: 42033.875
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROZ LAN
Q5. Month and year of birth: 03/1965
Q6. Last four digits of SSN: 6236
Q9. How old are you?: 49
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1460
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3891271296
Survey Code: AB16
Location: 93726
Zip Code Map: 93726A
Interviewer: ANNA HECKER
Date & Time: 42033.8333333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR JON
Q5. Month and year of birth: 09/1969
Q6. Last four digits of SSN: 379
Q9. How old are you?: 45
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 9125
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4739039815
Survey Code: AB25
Location: BELMONT & VAN NESS
Zip Code Map: 93701A
Interviewer: ESTHER
Date & Time: 42032.46875
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GEO GAR
Q5. Month and year of birth: 10/1952
Q6. Last four digits of SSN: 6123
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1460
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.467727743
Survey Code: MJ2
Location: CEDAR & ASHLAN
Zip Code Map: 93726B
Interviewer: BEAU
Date & Time: 42032.5833333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CIN BOO
Q5. Month and year of birth: 03/1961
Q6. Last four digits of SSN: 3178
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: D
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: Yes
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.3742084606
Survey Code: BV01
Location: E LANE AVE & S WILLOW AVE
Zip Code Map: 93727B
Interviewer: NICOLE HENSON
Date & Time: 42032.3444444444
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: AAR AYL
Q5. Month and year of birth: 08/1969
Q6. Last four digits of SSN: 3117
Q9. How old are you?: 45
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1460
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.398316331
Survey Code: MM09
Location: MAPLE & SHIELDS
Zip Code Map: 93726B
Interviewer: BEAU
Date & Time: 42032.4305555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SEA WAR
Q5. Month and year of birth: DK
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: DK/REF
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: Yes
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.513884838
Survey Code: MJ6
Location: CEDAR & SHIELDS
Zip Code Map: 93726B
Interviewer: DILEEP SAIDU
Date & Time: 42032.3819444444
Sleeping location: Under bridge/overpass
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PAC SAN
Q5. Month and year of birth: 02/1965
Q6. Last four digits of SSN: 2456
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: Yes
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.435994456
Survey Code: AG13
Location: 93711
Zip Code Map: 93711
Interviewer: TOBY S.
Date & Time: 42032.6111111111
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CHR DIX
Q5. Month and year of birth: 01/1972
Q6. Last four digits of SSN: 9479
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 1460
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4558675926
Survey Code: BV14
Location: 93705
Zip Code Map: 93705
Interviewer: GIANTS FAN
Date & Time: 42032.4930555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LAU
Q5. Month and year of birth: 08/1964
Q6. Last four digits of SSN: DK
Q9. How old are you?: 50
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5894460648
Survey Code: SB03
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: AND VIC
Q5. Month and year of birth: 03/1968
Q6. Last four digits of SSN: 1428
Q9. How old are you?: 46
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1460
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: ARA PAR
Q5. Month and year of birth2: 10/1980
Are you…: 25+
Q6. Last four digits of SSN3: 1593
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.: DK/REF
Q8a. Where were you staying?: DK
Q9. How old are you?4: 34
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: Am Ind or Alaska Nat, White
Timestamp: 42033.9197977315
Survey Code: ER19
Location: TULARE & DIVISADERO
Zip Code Map: 93701B
Interviewer: JASON ADAMS
Date & Time: 42032.5895833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KIP ROO
Q5. Month and year of birth: 6/1959
Q6. Last four digits of SSN: 5119
Q9. How old are you?: 55
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1320
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: DON
Q5. Month and year of birth2: DK
Are you…: 25+
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4: 52
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42033.7521990625
Survey Code: JK14
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.375
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ARM OUT
Q5. Month and year of birth: 09/1964
Q6. Last four digits of SSN: 1493
Q9. How old are you?: 50
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1825
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4995638426
Survey Code: JP35
Location: 93706
Zip Code Map: 93706
Interviewer: M. THOMAS
Date & Time: 42032.5
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DES EDW
Q5. Month and year of birth: 1992-08-01
Q6. Last four digits of SSN: 8621
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.5103480903
Survey Code: BV23
Location: BELMONT & FULTON
Zip Code Map: 93728
Interviewer: FREDDIE S
Date & Time: 42032.375
Sleeping location: LEFT BLANK
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LOU
Q5. Month and year of birth: 11/1965
Q6. Last four digits of SSN: 2701
Q9. How old are you?: 49
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Psychiatric/emotional condition
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4314187269
Survey Code: JP17
Location: MONO & F ST
Zip Code Map: 93706
Interviewer: JULIAN GARZA
Date & Time: 42032.34375
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PHI HER
Q5. Month and year of birth: 08/1964
Q6. Last four digits of SSN: 9618
Q9. How old are you?: 50
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use, PTSD, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3880908565
Survey Code: MM06
Location: CEDAR & SHIELDS
Zip Code Map: 93726
Interviewer: BEAU
Date & Time: 42032.3958333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TOD CAR
Q5. Month and year of birth: DK
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4328341204
Survey Code: AG12
Location: SHAW & BLYTH
Zip Code Map: 93722
Interviewer: GONZALO V. SHAWN HEEL
Date & Time: 42032.4166666667
Sleeping location: DK
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 5
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: NAT NAT
Q5. Month and year of birth: 10/1992
Q6. Last four digits of SSN: 3495
Q9. How old are you?: 22
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 1825
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name: TON ALL
Q5. Month and year of birth2: 12/1990
Are you…: 18-24
Q6. Last four digits of SSN3: 1147
Q7. Relation to Person 1: Other Family
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: DK
Q9. How old are you?4: 24
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42037.6852449537
Survey Code: AB62
Location: TULARE & MAYOR
Zip Code Map: 93706
Interviewer: LANA K
Date & Time: 42032.7361111111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOS KAH
Q5. Month and year of birth: DK
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: Yes
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 30
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4455523727
Survey Code: MC12
Location: 93705
Zip Code Map: 93705
Interviewer: GIANTS FAN
Date & Time: 42032.4048611111
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CUR
Q5. Month and year of birth: 03/1967
Q6. Last four digits of SSN: DK
Q9. How old are you?: 49
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.7077063889
Survey Code: MN38
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETTY
Date & Time: 42033.8333333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAE EAS
Q5. Month and year of birth: 01/1971
Q6. Last four digits of SSN: 6738
Q9. How old are you?: 44
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 2190
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4736808218
Survey Code: JP26
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42032.5729166667
Sleeping location: GARAGE
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GEO ZAR
Q5. Month and year of birth: 08/1960
Q6. Last four digits of SSN: 5345
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6651352894
Survey Code: SB19
Location: SHAW & BLACKSTONE
Zip Code Map: 93710
Interviewer: Y RENTERIA
Date & Time: 42032.3722222222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RUS FAY
Q5. Month and year of birth: 11/1971
Q6. Last four digits of SSN: 579
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6309299884
Survey Code: SA30
Location: DIVISADERO & ABBY
Zip Code Map: 93701A
Interviewer: FOTOFILI MNAMOA
Date & Time: 42033.8055555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR SCH
Q5. Month and year of birth: 12/1962
Q6. Last four digits of SSN: 1970
Q9. How old are you?: 52
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3655933102
Survey Code: AG01
Location: BELMONT & VAN NESS
Zip Code Map: 93701
Interviewer: JASON ADAMS
Date & Time: 42032.3888888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RIC TAX
Q5. Month and year of birth: 08/1964
Q6. Last four digits of SSN: 7130
Q9. How old are you?: 50
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 3650
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6335209491
Survey Code: MN19
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROY BYB
Q5. Month and year of birth: 08/1967
Q6. Last four digits of SSN: 5026
Q9. How old are you?: 47
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1825
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3934673148
Survey Code: AB17
Location: E SHILEDS AVE & N BLACKSTONE ST
Zip Code Map: 93726A
Interviewer: MARIANNA LECOMPTE
Date & Time: 42033.84375
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KEN MOT
Q5. Month and year of birth: 07/1950
Q6. Last four digits of SSN: 3756
Q9. How old are you?: 64
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7547416088
Survey Code: JK15
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.375
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ALL WIL
Q5. Month and year of birth: 08/1950
Q6. Last four digits of SSN: 2662
Q9. How old are you?: 64
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4603156481
Survey Code: JP22
Location: CHURCH & ELM
Zip Code Map: 93706
Interviewer: JULIAN GARZA
Date & Time: 42032.5868055556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PEG SHE
Q5. Month and year of birth: 12/1961
Q6. Last four digits of SSN: 850
Q9. How old are you?: 54
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.680576412
Survey Code: LL40
Location: BLACKSTONE & SIERRA
Zip Code Map: 93610
Interviewer: LATASHA HOLLINS
Date & Time: 42033.8020833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: VEL WIL
Q5. Month and year of birth: 11/1963
Q6. Last four digits of SSN: 702
Q9. How old are you?: 51
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5894725116
Survey Code: LL05
Location: FIRST & BULLARD
Zip Code Map: 93710
Interviewer: MARIA R. LOPEZ
Date & Time: 42032.4340277778
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SIM VAS
Q5. Month and year of birth: 07/1952
Q6. Last four digits of SSN: 401
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1825
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3711400463
Survey Code: CM01
Location: W BELMONT AVE & N GOLDEN STATE BLVD
Zip Code Map: 93728A
Interviewer: CASSIE MORGAN
Date & Time: 42032.5
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: STA EGA
Q5. Month and year of birth: 05/1965
Q6. Last four digits of SSN: 8515
Q9. How old are you?: 49
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 1825
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5549183565
Survey Code: AD02
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: MICHAEL VANG
Date & Time: 42031.8333333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 4
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PAU KIT
Q5. Month and year of birth: 09/1966
Q6. Last four digits of SSN: 7241
Q9. How old are you?: 49
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: DK/REF
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: DAN SPE
Q5. Month and year of birth2: 09/1993
Are you…: 25+
Q6. Last four digits of SSN3: 4904
Q7. Relation to Person 1: FRIEND
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: STREET OR SIDEWALK
Q9. How old are you?4: 21
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42037.6613910069
Survey Code: MJ23
Location: 93728
Zip Code Map: 93728A
Interviewer: GLADYS
Date & Time: 42033.8708333333
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TON TOB
Q5. Month and year of birth: 12/1967
Q6. Last four digits of SSN: REF
Q9. How old are you?: 48
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: SET SEN
Q5. Month and year of birth2: 05/1962
Are you…: 25+
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: 3
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: DK/REF
Q12. What is your race?6: DK/REF
Timestamp: 42037.617446713
Survey Code: LL10
Location: NORTH & EAST AVE
Zip Code Map: 93706C
Interviewer: JENNIFER
Date & Time: 42032.5520833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOS BOW
Q5. Month and year of birth: 01/1993
Q6. Last four digits of SSN: 6442
Q9. How old are you?: DK
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 270
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4879287153
Survey Code: MC25
Location: CEDAR & ASHLAN
Zip Code Map: 93726B
Interviewer: BEAU
Date & Time: 42032.5902777778
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KEL IRB
Q5. Month and year of birth: 11/1970
Q6. Last four digits of SSN: 8599
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2190
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 120
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.508475081
Survey Code: JP40
Location: CHURCH & ELM
Zip Code Map: 93706
Interviewer: M. THOMAS
Date & Time: 42032.5972222222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JEF ERF
Q5. Month and year of birth: 12/1955
Q6. Last four digits of SSN: 6251
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2190
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4628047917
Survey Code: MC17
Location: 93706
Zip Code Map: 93706C
Interviewer: CARRIE
Date & Time: 42032.5541666667
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JFC RAM
Q5. Month and year of birth: 06/1962
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: DK/REF
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2190
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5252591435
Survey Code: MJ8
Location: SHAW & BRAWLEY
Zip Code Map: 93711B
Interviewer: A.BREAR
Date & Time: 42032.3958333333
Sleeping location: CANAL
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROY FIN
Q5. Month and year of birth: 03/1960
Q6. Last four digits of SSN: 9927
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2190
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 2190
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4602450231
Survey Code: MC16
Location: 93706
Zip Code Map: 93706C
Interviewer: MARY
Date & Time: 42032.5666666667
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOH BLA
Q5. Month and year of birth: 02/1981
Q6. Last four digits of SSN: 7135
Q9. How old are you?: DK
Age: DK/REF
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2190
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 2190
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6921109491
Survey Code: MN36
Location: FRESNO & C ST
Zip Code Map: 93706
Interviewer: MANNY B
Date & Time: 42033.8854166667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BIK WOB
Q5. Month and year of birth: 11/1963
Q6. Last four digits of SSN: 19X6
Q9. How old are you?: 51
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2190
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8347945718
Survey Code: ER08
Location: 93706
Zip Code Map: 93706C
Interviewer: VY
Date & Time: 42027.0784722222
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CAR ORT
Q5. Month and year of birth: 03/1958
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2340
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5850026852
Survey Code: LL03
Location: BLACKSTONE & HERNDON
Zip Code Map: 93710
Interviewer: MICHELLE CALDWELL
Date & Time: 42032.3798611111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RAN STE
Q5. Month and year of birth: 08/1981
Q6. Last four digits of SSN: 7869
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat, White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2555
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 2555
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name: KAY BAJ
Q5. Month and year of birth2: DK
Are you…: DK
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: HERNDON/ BLACKSTONE
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42033.4963296528
Survey Code: BV22
Location: GOLDEN STATE & BELMONT
Zip Code Map: 93728B
Interviewer: FREDDIE S
Date & Time: 42032.3611111111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SCO HOL
Q5. Month and year of birth: 08/1990
Q6. Last four digits of SSN: 8723
Q9. How old are you?: DK
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 365
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: JAE AEO
Q5. Month and year of birth2: REF
Are you…: DK
Q6. Last four digits of SSN3: REF
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42037.5700403819
Survey Code: SB01
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MUS KEL
Q5. Month and year of birth: 09/1952
Q6. Last four digits of SSN: 3140
Q9. How old are you?: 62
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2555
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3828648495
Survey Code: IG04
Location: MARKS & BELMONT
Zip Code Map: 93728
Interviewer: JEANNE
Date & Time: 42032.1145833333
Sleeping location: TRAVELER
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: XXX XXX
Q5. Month and year of birth: 06/1961
Q6. Last four digits of SSN: 1824
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2555
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 2555
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?:
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7606180324
Survey Code: JK16
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.3541666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JEF HAR
Q5. Month and year of birth: 04/1965
Q6. Last four digits of SSN: 6189
Q9. How old are you?: 49
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2555
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: DK/REF
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6519078241
Survey Code: MJ21
Location: E ASHLAN AVE & N FRESNO ST
Zip Code Map: 93726A
Interviewer: MARIANNE LECOMPTE
Date & Time: 42033.8888888889
Sleeping location: CHURCH
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CHR REF
Q5. Month and year of birth: REF
Q6. Last four digits of SSN: REF
Q9. How old are you?: 35
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2555
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 2555
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6618181944
Survey Code: SA41
Location: ABBY & LEWIS
Zip Code Map: 93701B
Interviewer: ESTHER
Date & Time: 42033.8604166667
Sleeping location: ALLEY
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SAC BOU
Q5. Month and year of birth: 12/1971
Q6. Last four digits of SSN: 1653
Q9. How old are you?: 44
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Asian
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2555
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8151315046
Survey Code: AB13
Location: TULARE & R
Zip Code Map: 93721A
Interviewer: ROBERT HUERTA
Date & Time: 42032.3756944444
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BEE PER
Q5. Month and year of birth: 04/1961
Q6. Last four digits of SSN: DK
Q9. How old are you?: 52
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2555
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name: DAB GUI
Q5. Month and year of birth2: DK
Are you…: 25+
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: 3
Q9. How old are you?4: 40
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: Am Ind or Alaska Nat
Timestamp: 42037.6595465162
Survey Code: SA40
Location: DIVISADERO & ABBEY
Zip Code Map: 93701A
Interviewer: FOTOFILI NAMOA
Date & Time: 42033.7923611111
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ANT RON
Q5. Month and year of birth: 08/1965
Q6. Last four digits of SSN: 2722
Q9. How old are you?: 49
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2920
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4015387384
Survey Code: IG09
Location: 93728
Zip Code Map: 93728
Interviewer: JEANNE
Date & Time: 42032.0625
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GON AND
Q5. Month and year of birth: 04/1959
Q6. Last four digits of SSN: 8661
Q9. How old are you?: 55
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2920
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4705933912
Survey Code: MC20
Location: 93706
Zip Code Map: 93706C
Interviewer: CARRIE
Date & Time: 42032.5131944444
Sleeping location: Vehicle (car, van, RV, truck)
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DAN EAS
Q5. Month and year of birth: 12/1956
Q6. Last four digits of SSN: 6496
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2920
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5945943056
Survey Code: AD13
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: CASSIE M
Date & Time: 42033.875
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PAT RUI
Q5. Month and year of birth: 01/1959
Q6. Last four digits of SSN: DK
Q9. How old are you?: 55
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2920
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4715942593
Survey Code: IG26
Location: BLACKSONE & HERNDON
Zip Code Map: 93720
Interviewer: SHANNON
Date & Time: 42032.5416666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LOR BRY
Q5. Month and year of birth: 12/1970
Q6. Last four digits of SSN: 987
Q9. How old are you?: 44
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2920
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3754565393
Survey Code: JP03
Location: BROADWAY & SACRAMENTO
Zip Code Map: 93721A
Interviewer: AARON HALL
Date & Time: 42032.5416666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: COC SAR
Q5. Month and year of birth: 05/1955
Q6. Last four digits of SSN: 234
Q9. How old are you?: 60
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2920
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.5743358912
Survey Code: JK08
Location: SHAW & MARKS
Zip Code Map: 93711B
Interviewer: AMANDA BREAR
Date & Time: 42032.3506944444
Sleeping location: BEHIND BUILDING
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ART ELL
Q5. Month and year of birth: 08/1987
Q6. Last four digits of SSN: REF
Q9. How old are you?: REF
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2920
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6734302199
Survey Code: MJ24
Location: W BELMONT AVE & N GOLDEN STATE BLVD
Zip Code Map: 93728A
Interviewer: JAQUELINE
Date & Time: 42033.8736111111
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DAV MCD
Q5. Month and year of birth: DK
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: DK/REF
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2920
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7775900463
Survey Code: AB07
Location: O & MARIPOSA
Zip Code Map: 93721A
Interviewer: MELISSA
Date & Time: 42025.4104166667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LUC HOW
Q5. Month and year of birth: 02/1965
Q6. Last four digits of SSN: 8579
Q9. How old are you?: 48
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2920
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 2920
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: DK/REF
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4157636574
Survey Code: IG13
Location: BELMONT & DURANT
Zip Code Map: 93728
Interviewer: SIOBHAN EDMONDS
Date & Time: 42032.5694444444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SCO SCH
Q5. Month and year of birth: 05/1970
Q6. Last four digits of SSN: 8287
Q9. How old are you?: 44
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2920
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 4380
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5623419097
Survey Code: AD04
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: CASSIE MORGAN
Date & Time: 42033.7708333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROB LOU
Q5. Month and year of birth: 09/1958
Q6. Last four digits of SSN: 8281
Q9. How old are you?: 56
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2920
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 2920
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6582979398
Survey Code: LL28
Location: PARKWAY & PARKVIEW
Zip Code Map: 93728
Interviewer: CHRISTINE
Date & Time: 42033.7784722222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SCO LAW
Q5. Month and year of birth: 04/1993
Q6. Last four digits of SSN: 2917
Q9. How old are you?: 21
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 730
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 730
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4758880903
Survey Code: BV18
Location: GOLDEN STATE & JENSEN
Zip Code Map: 93725
Interviewer: JON / KESHA
Date & Time: 42032.3958333333
Sleeping location: Under bridge/overpass
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ADA HAN
Q5. Month and year of birth: 01/1964
Q6. Last four digits of SSN: 491
Q9. How old are you?: 51
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2920
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.615171875
Survey Code: AB36
Location: BUTLER & CHANCE
Zip Code Map: 93702B
Interviewer: MARIA NUNEZ
Date & Time: 42032.3819444444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JUA
Q5. Month and year of birth: 03/1976
Q6. Last four digits of SSN: DK
Q9. How old are you?: 39
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 2920
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Ongoing health issue
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5004833218
Survey Code: IG33
Location: BLACKSTONE & ASHLAN
Zip Code Map: 93726
Interviewer: DAWN
Date & Time: 42032.4270833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CHE RAF
Q5. Month and year of birth: REF
Q6. Last four digits of SSN: REF
Q9. How old are you?: 57
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: DK/REF
Race: DK/REF
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 3100
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4552056134
Survey Code: JP21
Location: FRESNO & E ST
Zip Code Map: 93706
Interviewer: JULIAN GARZA
Date & Time: 42032.5555555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GUA GAS
Q5. Month and year of birth: 04/1966
Q6. Last four digits of SSN: DK
Q9. How old are you?: 48
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat, Asian
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 3285
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 31
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.480662037
Survey Code: JP28
Location: HEYES & CALIFORNIA
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42032.4895833333
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: NAD DAV
Q5. Month and year of birth: 12/1987
Q6. Last four digits of SSN: 3643
Q9. How old are you?: 27
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 3285
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6370216782
Survey Code: AB45
Location: SHIELDS & WEST
Zip Code Map: 93705
Interviewer: LATASHA HOLLINS
Date & Time: 42032.4340277778
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CAR HER
Q5. Month and year of birth: 12/1959
Q6. Last four digits of SSN: 5540
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 3285
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 3650
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6201267014
Survey Code: SA27
Location: W BELMONT AVE & N GOLDEN STATE BLVD
Zip Code Map: 93728A
Interviewer: JACQUELINE
Date & Time: 42033.8708333333
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: APR BUR
Q5. Month and year of birth: 09/1974
Q6. Last four digits of SSN: REF
Q9. How old are you?: 40
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 3285
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: MIC LER
Q5. Month and year of birth2: 06/1961
Are you…: 25+
Q6. Last four digits of SSN3: 6437
Q7. Relation to Person 1: Spouse
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: 52
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42037.5979140741
Survey Code: MN08
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR LOP
Q5. Month and year of birth: 11/1936
Q6. Last four digits of SSN: REF
Q9. How old are you?: 78
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 3285
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4635002894
Survey Code: IG23
Location: NEES & FIRST
Zip Code Map: 93720
Interviewer: MARIANNE LE COMPTE
Date & Time: 42032.3784722222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAM DOE
Q5. Month and year of birth: 01/1981
Q6. Last four digits of SSN: DK
Q9. How old are you?: 32
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Asian
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 3285
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 3285
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4002981829
Survey Code: JP10
Location: 93706
Zip Code Map: 93706
Interviewer: SAMANTHA DIAZ
Date & Time: 42032.4895833333
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: STE DAV
Q5. Month and year of birth: 11/1953
Q6. Last four digits of SSN: 4052
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 3285
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6522303357
Survey Code: MN24
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: STE BID
Q5. Month and year of birth: 08/1957
Q6. Last four digits of SSN: 3828
Q9. How old are you?: 57
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 3285
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6952448611
Survey Code: LL45
Location: 93720
Zip Code Map: 93720
Interviewer: MICHELLE/ IRA
Date & Time: 42033.7847222222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DK
Q5. Month and year of birth: 06/1961
Q6. Last four digits of SSN: 5610
Q9. How old are you?: 55
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 3285
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4282925694
Survey Code: BV08
Location: KINGS CANYON & WINERY
Zip Code Map: 93727B
Interviewer: MIKE
Date & Time: 42032.4791666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROB VAS
Q5. Month and year of birth: 06/1967
Q6. Last four digits of SSN: 6834
Q9. How old are you?: 48
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 3650
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6700681713
Survey Code: SA45
Location: OLIVE & WILSON
Zip Code Map: 93728B
Interviewer: MARK LOBUE
Date & Time: 42033.8125
Sleeping location: Under bridge/overpass
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MVB
Q5. Month and year of birth: 06/1953
Q6. Last four digits of SSN: 9308
Q9. How old are you?: 61
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 3650
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, PTSD, Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.738905544
Survey Code: AB02
Location: BELMONT & VAN NESS
Zip Code Map: 93728B
Interviewer: FREDDIE
Date & Time: 42032.5833333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR AVL
Q5. Month and year of birth: 10/1971
Q6. Last four digits of SSN: 9964
Q9. How old are you?: 44
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 3650
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4865439583
Survey Code: IG30
Location: ASHLAN & BLACKSTONE
Zip Code Map: 93726
Interviewer: PATRICIA DUNNE
Date & Time: 42032.6076388889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ERI BLA
Q5. Month and year of birth: 06/1963
Q6. Last four digits of SSN: 4153
Q9. How old are you?: 51
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 3650
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 21
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6500201389
Survey Code: MN23
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SEA STE
Q5. Month and year of birth: 10/1964
Q6. Last four digits of SSN: 7779
Q9. How old are you?: 50
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 3650
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 3650
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6722069097
Survey Code: AB57
Location: TULARE & MAYOR
Zip Code Map: 93701
Interviewer: MARTIN GARCIA
Date & Time: 42032.8229166667
Sleeping location: Under bridge/overpass
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ABE GUI
Q5. Month and year of birth: DK
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 3650
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4696536806
Survey Code: JK01
Location: 93706
Zip Code Map: 93706C
Interviewer: CARRIE
Date & Time: 42032.5659722222
Sleeping location: Under bridge/overpass
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: R BAS
Q5. Month and year of birth: 00/1966
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: DK/REF
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 3650
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.71555125
Survey Code: MN41
Location: G ST & SANTA CLARA
Zip Code Map: 93706
Interviewer: AMBER
Date & Time: 42033.7604166667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DK
Q5. Month and year of birth: 07/1953
Q6. Last four digits of SSN: 8880
Q9. How old are you?: 61
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 3650
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8325431597
Survey Code: JK28
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4444444444
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RUB GAR
Q5. Month and year of birth: 04/1961
Q6. Last four digits of SSN: 3934
Q9. How old are you?: 53
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 3650
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.540009919
Survey Code: MJ11
Location: 93706
Zip Code Map: 93706C
Interviewer: JENNIFER
Date & Time: 42032.5729166667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR IGN
Q5. Month and year of birth: 01/1972
Q6. Last four digits of SSN: 2997
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 3650
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 3650
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6795947685
Survey Code: MJ26
Location: W BELMONT AVE & N GOLDEN STATE BLVD
Zip Code Map: 93728A
Interviewer: JUAN
Date & Time: 42033.8506944444
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SHE PHI
Q5. Month and year of birth: 11/1973
Q6. Last four digits of SSN: 1468
Q9. How old are you?: 41
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 4015
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 4015
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4299536921
Survey Code: IG15
Location: W BELMONT AVE & N GOLDEN STATE BLVD
Zip Code Map: 93728
Interviewer: CASSIE MORGAN
Date & Time: 42032.6388888889
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TAV HOF
Q5. Month and year of birth: 12/1960
Q6. Last four digits of SSN: 2592
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 4380
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: PTSD, Psychiatric/emotional condition, Brain injury
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4392397222
Survey Code: BV10
Location: 93703
Zip Code Map: 93703
Interviewer: GIANT FAN
Date & Time: 42032.3388888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CYN GAR
Q5. Month and year of birth: 04/1958
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 4380
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.433951088
Survey Code: BV09
Location: KINGS CANYON & CLOVIS
Zip Code Map: 93727B
Interviewer: MYCOL SOLIS
Date & Time: 42032.4583333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: VAL WIS
Q5. Month and year of birth: 04/1966
Q6. Last four digits of SSN: 5821
Q9. How old are you?: 58
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 4380
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 4380
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4041172685
Survey Code: JP11
Location: MONO & F ST
Zip Code Map: 93706
Interviewer: SAMANTHA DIAZ
Date & Time: 42005.3333333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SHE PIE
Q5. Month and year of birth: 12/1983
Q6. Last four digits of SSN: 9249
Q9. How old are you?: 31
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 4380
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 4380
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6398497801
Survey Code: LL19
Location: THORNE & DAKOTA
Zip Code Map: 93705
Interviewer: ANDREA
Date & Time: 42032.5166666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DAN OBA
Q5. Month and year of birth: 10/1958
Q6. Last four digits of SSN: 7489
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 4745
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.456292662
Survey Code: MC15
Location: 93703
Zip Code Map: 93703
Interviewer: GIANTS FAN
Date & Time: 42032.5555555556
Sleeping location: Under bridge/overpass
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: HEN
Q5. Month and year of birth: 11/1983
Q6. Last four digits of SSN: 6502
Q9. How old are you?: 31
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 5475
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5285815972
Survey Code: MJ9
Location: SHAW & BRAWLEY
Zip Code Map: 93711B
Interviewer: IRA WALLEZ
Date & Time: 42032.4166666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: YAN MOU
Q5. Month and year of birth: 12/1973
Q6. Last four digits of SSN: 9501
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Asian
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 5475
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.5022325463
Survey Code: MC29
Location: BLACKSTONE & ABBY
Zip Code Map: 93701A
Interviewer: SAM GILL
Date & Time: 42032.46875
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: TIM COC
Q5. Month and year of birth: 03/1965
Q6. Last four digits of SSN: 4702
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 5475
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4285532407
Survey Code: JP16
Location: MONO & F ST
Zip Code Map: 93706
Interviewer: JULIAN GARZA
Date & Time: 42032.3333333333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAC FER
Q5. Month and year of birth: 08/1957
Q6. Last four digits of SSN: 1918
Q9. How old are you?: 58
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 5475
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.676782743
Survey Code: LL38
Location: HERDON & BLACKSTONE
Zip Code Map: 93710
Interviewer: GILBERT
Date & Time: 42033.76875
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: AND DAD
Q5. Month and year of birth: 07/1992
Q6. Last four digits of SSN: 1944
Q9. How old are you?: 22
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1460
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5586208218
Survey Code: MN01
Location: 93706
Zip Code Map: 93706
Interviewer: LETICIA MARTINEZ
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PET CEB
Q5. Month and year of birth: DK
Q6. Last four digits of SSN: DK
Q9. How old are you?: 61
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 5475
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6446955903
Survey Code: SA35
Location: 93701
Zip Code Map: 93701A
Interviewer: DIEGO
Date & Time: 42033.7868055556
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MIK DOV
Q5. Month and year of birth: 09/1953
Q6. Last four digits of SSN: 6560
Q9. How old are you?: 61
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 5476
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4886203704
Survey Code: BV21
Location: 93706
Zip Code Map: 93706C
Interviewer: VY PHAUN
Date & Time: 42032.5729166667
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GIL DIA
Q5. Month and year of birth: 11/1954
Q6. Last four digits of SSN: 6232
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 6570
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?:
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, Physical disability, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6807028704
Survey Code: AD34
Location: 93721
Zip Code Map: 93721A
Interviewer: ROBERT HUERTE
Date & Time: 42033.75
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MIC DEJ
Q5. Month and year of birth: 06/1959
Q6. Last four digits of SSN: 3642
Q9. How old are you?: 55
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 7300
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 7300
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, PTSD, Psychiatric/emotional condition, Physical disability, Brain injury
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3841632755
Survey Code: MM05
Location: BLACKSTONE & NESS
Zip Code Map: 93720
Interviewer: AIMEE BIRD
Date & Time: 42032.5729166667
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LEE SMI
Q5. Month and year of birth: 05/1963
Q6. Last four digits of SSN: REF
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 7300
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 7300
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, PTSD, Psychiatric/emotional condition, Physical disability, Brain injury
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8406381366
Survey Code: ER09
Location: BROADWAY & DIVISADERO
Zip Code Map: 93701A
Interviewer: SAM GILT
Date & Time: 42032.4375
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: CAR GAR
Q5. Month and year of birth: 04/1965
Q6. Last four digits of SSN: 2628
Q9. How old are you?: 60
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 7300
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 7300
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4955576968
Survey Code: JP34
Location: FRESNO & E
Zip Code Map: 93706
Interviewer: M. THOMAS
Date & Time: 42032.3263888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RAY HER
Q5. Month and year of birth: 09/1958
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 7300
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Physical disability
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3905405208
Survey Code: AG07
Location: 93701
Zip Code Map: 93701
Interviewer: JASON ADAMS
Date & Time: 42032.34375
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: SID SMI
Q5. Month and year of birth: 06/1972
Q6. Last four digits of SSN: 6452
Q9. How old are you?: 42
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 7300
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 60
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?:
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6739087847
Survey Code: LL37
Location: CEDAR & DAKOTA
Zip Code Map: 93726B
Interviewer: DAWN
Date & Time: 42033.8541666667
Sleeping location: CANAL
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: WAL BAR
Q5. Month and year of birth: 08/1960
Q6. Last four digits of SSN: 8419
Q9. How old are you?: 54
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 7665
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5690105671
Survey Code: SA07
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.9166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RUB GON
Q5. Month and year of birth: 08/1965
Q6. Last four digits of SSN: 2253
Q9. How old are you?: 49
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 8760
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4420442824
Survey Code: IG18
Location: CLINTON & MARKS
Zip Code Map: 93722
Interviewer: YVONNE
Date & Time: 42032.3194444444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ELI ADA
Q5. Month and year of birth: 6/1968
Q6. Last four digits of SSN: 2421
Q9. How old are you?: 46
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 9125
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?:
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: NEV PET
Q5. Month and year of birth2: 06/1968
Are you…: 25+
Q6. Last four digits of SSN3: XXXX
Q7. Relation to Person 1: DK
Q8. Confirm you stayed with Person 1.: DK/REF
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: DK/REF
Timestamp: 42037.388182581
Survey Code: IG05
Location: BELMONT & HUGHES
Zip Code Map: 93728
Interviewer: JEANNE
Date & Time: 42032.625
Sleeping location: TENT
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: PAT EAT
Q5. Month and year of birth: 5/1974
Q6. Last four digits of SSN: 169
Q9. How old are you?: 40
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 9855
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 9855
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?:
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5600376042
Survey Code: SA04
Location: TULARE & FIRST
Zip Code Map: 93702B
Interviewer: JAIME SANDEZ
Date & Time: 42033.8180555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: DEB VAR
Q5. Month and year of birth: 10/1961
Q6. Last four digits of SSN: 3919
Q9. How old are you?: 53
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 13140
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 0
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.786001875
Survey Code: AB08
Location: 93721
Zip Code Map: 93721A
Interviewer: JIMMY DELATORO
Date & Time: 42032.4020833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: HOW MAT
Q5. Month and year of birth: 06/1957
Q6. Last four digits of SSN: 7272
Q9. How old are you?: 57
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 14600
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6718974074
Survey Code: SA46
Location: OLIVE & WILSON
Zip Code Map: 93728B
Interviewer: REVERTO VALDEZ
Date & Time: 42033.8125
Sleeping location: Vehicle (car, van, RV, truck)
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: FIO
Q5. Month and year of birth: 04/1958
Q6. Last four digits of SSN: 8994
Q9. How old are you?: 55
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): DK
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6564213426
Survey Code: LL27
Location: OLIVE & FIADORA
Zip Code Map: 93728B
Interviewer: ROVERTO VALDEZ
Date & Time: 42033.8784722222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: NIP
Q5. Month and year of birth: 04/1982
Q6. Last four digits of SSN: DK
Q9. How old are you?: 38
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): DK
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue, PTSD, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6542767708
Survey Code: LL26
Location: 93728
Zip Code Map: 93728B
Interviewer: ROVERTO VALDEZ
Date & Time: 42033.7291666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: BAR
Q5. Month and year of birth: 01/1979
Q6. Last four digits of SSN: 5178
Q9. How old are you?: 36
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): DK
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Illegal drug use, Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6226060764
Survey Code: AB38
Location: SANTA FE & TULMAN
Zip Code Map: 93705
Interviewer: LATASHA HOLLINS
Date & Time: 42032.5625
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RS
Q5. Month and year of birth: 11/1983
Q6. Last four digits of SSN: 9724
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): DK
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 365
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?:
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Ongoing health issue
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: AG
Q5. Month and year of birth2: 10/1982
Are you…: 25+
Q6. Last four digits of SSN3: 9163
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?:
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: White
Timestamp: 42033.4631884606
Survey Code: BV15
Location: 93703
Zip Code Map: 93703
Interviewer: GIANTS FAN
Date & Time: 42032.5201388889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: ROB XXX
Q5. Month and year of birth: 01/1959
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): DK
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: DK/REF
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?:
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4815029977
Survey Code: MC23
Location: GOLDEN STATE & JENSEN
Zip Code Map: 93706C
Interviewer: JENIFFER
Date & Time: 42032.5048611111
Sleeping location: Woods or outdoor encampment
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: LEE NEL
Q5. Month and year of birth: 01/1994
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): 1825
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, PTSD, Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5918792477
Survey Code: LL06
Location: BLACKSTONE & BLACKSTONE
Zip Code Map: 93710
Interviewer: MARIA R. LOPEZ
Date & Time: 42032.4131944444
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: EVA EST
Q5. Month and year of birth: 06/1976
Q6. Last four digits of SSN: 9733
Q9. How old are you?: DK
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: Am Ind or Alaska Nat
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): DK
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4854815046
Survey Code: MJ4
Location: SHIELDS & WILLBROOK
Zip Code Map: 93736B
Interviewer: JASON ARROYOS
Date & Time: 42032.40625
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR BRO
Q5. Month and year of birth: 03/1967
Q6. Last four digits of SSN: 4014
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): DK
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.5002152315
Survey Code: MC28
Location: 93708
Zip Code Map: 93708
Interviewer: RAY CARREON
Date & Time: 42032.3784722222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: HIL CAN
Q5. Month and year of birth: 08/1959
Q6. Last four digits of SSN: 4838
Q9. How old are you?: DK
Age: DK/REF
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): DK
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6911989699
Survey Code: AB65
Location: TULARE & MAYOR
Zip Code Map: 93701
Interviewer: ELIZABETH MORALES
Date & Time: 42032.7291666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: FRA JOS
Q5. Month and year of birth: 12/1990
Q6. Last four digits of SSN: 1433
Q9. How old are you?: DK
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2190
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.: 2190
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.8520495023
Survey Code: ER10
Location: BROADWAY & DIVISADERO
Zip Code Map: 93701A
Interviewer: JASON ADAMS
Date & Time: 42032.4479166667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: XXX XXX
Q5. Month and year of birth: 00/1963
Q6. Last four digits of SSN: REF
Q9. How old are you?: 52
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Psychiatric/emotional condition, Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name: REFUSED
Q5. Month and year of birth2: 7/1952
Are you…: 25+
Q6. Last four digits of SSN3: 9516
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: STREET
Q9. How old are you?4: 62
Q10. Are you male, female or transgender?: Male
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42037.6877436921
Survey Code: SB24
Location: MAROA & PRINCETON
Zip Code Map: 93704
Interviewer: CATE CASA
Date & Time: 42032.3645833333
Sleeping location: PARKING LOT
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR SUN
Q5. Month and year of birth: 6/1980
Q6. Last four digits of SSN: 8115
Q9. How old are you?: 34
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 120
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, Psychiatric/emotional condition
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.4802453935
Survey Code: BV19
Location: GOLDEN STATE & JENSEN
Zip Code Map: 93725
Interviewer: PAT ANLAUF
Date & Time: 42032.4472222222
Sleeping location: TENT
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: EST MAR
Q5. Month and year of birth: 11/1961
Q6. Last four digits of SSN: 3523
Q9. How old are you?: 53
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, Ongoing health issue, PTSD, Psychiatric/emotional condition, Physical disability, Brain injury, DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6468114583
Survey Code: SA36
Location: FRESNO & WASHINGTON
Zip Code Map: 93701B
Interviewer: ESTHER
Date & Time: 42033.7430555556
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RIG HER
Q5. Month and year of birth: 11/1963
Q6. Last four digits of SSN: 9545
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Physical disability
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6441061806
Survey Code: LL21
Location: BROADWAY & DIVISADERO
Zip Code Map: 93701A
Interviewer: RAY CARREON
Date & Time: 42032.4444444444
Sleeping location: DK
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KER RUT
Q5. Month and year of birth: 04/1960
Q6. Last four digits of SSN: 411
Q9. How old are you?: 40
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: DK/REF
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: DK/REF
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6036878588
Survey Code: LL07
Location: BLACKSTONE & HERNDON
Zip Code Map: 93710
Interviewer: ROSDLYN FUNES
Date & Time: 42032.375
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: KLE CR
Q5. Month and year of birth: 02/1995
Q6. Last four digits of SSN: 3434
Q9. How old are you?: DK
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2555
Q18. Number of times in shelters or on street in past 3 years?: Less than 4 times
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Psychiatric/emotional condition
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6889567014
Survey Code: LL43
Location: SHAW & FRESNO
Zip Code Map: 93610
Interviewer: LATASHA HOLLINS
Date & Time: 42033.8541666667
Sleeping location: RAILROAD TRACKS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOH RAM
Q5. Month and year of birth: 12/1969
Q6. Last four digits of SSN: 9651
Q9. How old are you?: 45
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: 1095
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: Yes
Q20i. Which ones keep you from holding a job or living in stable housing?: Alcohol use, Illegal drug use, Ongoing health issue
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6774490278
Survey Code: SB22
Location: MAROA & CORNELL
Zip Code Map: 93704
Interviewer: MARY ZANARINI
Date & Time: 42032.375
Sleeping location: PARKING LOT
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: EDW PFE
Q5. Month and year of birth: 09/1993
Q6. Last four digits of SSN: 6828
Q9. How old are you?: 21
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): 2920
Q18. Number of times in shelters or on street in past 3 years?: 4 or more times
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.792445463
Survey Code: JK23
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.3888888889
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAN MEN
Q5. Month and year of birth: 06/1986
Q6. Last four digits of SSN: 1201
Q9. How old are you?: 28
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: DK/REF
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6615752315
Survey Code: AD28
Location: FIRST & TULARE
Zip Code Map: 93721B
Interviewer: ANDREA B
Date & Time: 42033.8263888889
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 2
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: AMG MEN
Q5. Month and year of birth: 01/1961
Q6. Last four digits of SSN: REF
Q9. How old are you?: 45
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK/REF
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name: MAR TER
Q5. Month and year of birth2: DK/REF
Are you…: 25+
Q6. Last four digits of SSN3: REF
Q7. Relation to Person 1: Non-Married Partner
Q8. Confirm you stayed with Person 1.: Yes
Q8a. Where were you staying?: STREET OR SIDEWALK
Q9. How old are you?4: 46
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: Yes
Q12. What is your race?6: White
Timestamp: 42033.9070680556
Survey Code: E18
Location: TULARE & DIVISADERO
Zip Code Map: 93701B
Interviewer: JASON ADAMS
Date & Time: 42032.5895833333
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: RIC ACO
Q5. Month and year of birth: 09/1959
Q6. Last four digits of SSN: 8577
Q9. How old are you?: 55
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6968958102
Survey Code: LL46
Location: S 1ST ST & E HUNTINGTON BLVD
Zip Code Map: 93702A
Interviewer: MARCELA
Date & Time: 42033.8319444444
Sleeping location: Park
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: MAR GON
Q5. Month and year of birth: 02/1974
Q6. Last four digits of SSN: 7089
Q9. How old are you?: 40
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: Yes
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42033.7757742593
Survey Code: JK19
Location: SANTA CLARA & G ST.
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.3402777778
Sleeping location: SHEDS
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOS MAR
Q5. Month and year of birth: 10/1952
Q6. Last four digits of SSN: 6155
Q9. How old are you?: 52
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: Yes
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.4691109375
Survey Code: JP25
Location: FRESNO & E ST
Zip Code Map: 93706
Interviewer: LRTICIA MARTINEZ
Date & Time: 42032.34375
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: IVY DON
Q5. Month and year of birth: 12/1953
Q6. Last four digits of SSN: 5863
Q9. How old are you?: 56
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Am Ind or Alaska Nat, White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.7147383449
Survey Code: LL52
Location: BULLARD & BLACKSTNE
Zip Code Map: 93710
Interviewer: GILBERT
Date & Time: 42032.8125
Sleeping location: DK
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JOH BIE
Q5. Month and year of birth: 05/1979
Q6. Last four digits of SSN: 3722
Q9. How old are you?: 36
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: Yes
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: Yes
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.6669361111
Survey Code: AD30
Location: TULARE & R STREET
Zip Code Map: 93721B
Interviewer: YVANNA
Date & Time: 42033.8159722222
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAC LED
Q5. Month and year of birth: 12/1965
Q6. Last four digits of SSN: 1913
Q9. How old are you?: 42
Age: 25+
Gender: Female
Q11. Are you Hispanic or Latino?: Yes
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: Yes
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: Yes
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: Yes
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.577653044
Survey Code: SA10
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.9166666667
Sleeping location: SHED
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: GUY SHA
Q5. Month and year of birth: 04/1954
Q6. Last four digits of SSN: 1087
Q9. How old are you?: 60
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: No
Q16. Is this your first time homeless?: No
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: -
Q19. Were you an AB109 early release?: No
Q20a. Do you drink alcohol?: No
Q20b. Do you use illegal drugs?: No
Q20c. Do you have ongoing health problems and medical conditions?: Yes
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: No
Q20i. Which ones keep you from holding a job or living in stable housing?:
Q21. Have you ever received special education services?: No
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.5701802893
Survey Code: MN03
Location: 93706
Zip Code Map: 93706
Interviewer: ROBERT HUERTA
Date & Time: 42033.4166666667
Sleeping location: SHEDS
Q2. Have you taken this survey?: DK/REF
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JUS GUB
Q5. Month and year of birth: REF
Q6. Last four digits of SSN: REF
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: DK/REF
Race: DK/REF
Served in the US Armed Forces: DK/REF
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: DK/REF
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK/REF
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: DK/REF
Q20b. Do you use illegal drugs?: DK/REF
Q20c. Do you have ongoing health problems and medical conditions?: DK/REF
Q20d. Do you have PTSD?: DK/REF
Q20e. Do you have psychiatric or emotional conditions?: DK/REF
Q20f. Do you have a physical disability?: DK/REF
Q20g. Have you ever has a traumatic injury to brain?: DK/REF
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: DK/REF
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?: DK/REF
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42037.3695252778
Survey Code: JP02
Location: MARIPOSA & O ST.
Zip Code Map: 93721
Interviewer: ROBERT HUERTA
Date & Time: 42032.4166666667
Sleeping location: Street or sidewalk
Q2. Have you taken this survey?: No
Number of ADULTS: 1
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: JAC JHO
Q5. Month and year of birth: 08/1965
Q6. Last four digits of SSN: DK
Q9. How old are you?: DK
Age: 25+
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: White
Served in the US Armed Forces: No
Q14. Were you ever called to active duty?: DK/REF
Q15. Have you ever received healthcare or benefits from a VAMC?: DK/REF
Q16. Is this your first time homeless?: DK/REF
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.: DK
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?: Yes
Q20b. Do you use illegal drugs?: Yes
Q20c. Do you have ongoing health problems and medical conditions?: No
Q20d. Do you have PTSD?: No
Q20e. Do you have psychiatric or emotional conditions?: No
Q20f. Do you have a physical disability?: No
Q20g. Have you ever has a traumatic injury to brain?: No
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?: Yes
Q22. Do yo have HIV/AIDS?: No
Q23. Do yo receive any disability benefits?: No
Q24. Have you been a victim of domestic violence?: No
Q4b. First 3 letters of first and last name:
Q5. Month and year of birth2:
Are you…:
Q6. Last four digits of SSN3:
Q7. Relation to Person 1:
Q8. Confirm you stayed with Person 1.:
Q8a. Where were you staying?:
Q9. How old are you?4:
Q10. Are you male, female or transgender?:
Q11. Are you Hispanic or Latino?5:
Q12. What is your race?6:
Timestamp: 42040.6847074653
Survey Code: CM04
Location: TULARE & MAYOR
Zip Code Map: 93701
Interviewer: Miracle
Date & Time: 42032.7222222222
Sleeping location: Abandoned building
Q2. Have you taken this survey?: No
Number of ADULTS: 3
Number of CHILDREN: 0
Q4a. First 3 letters of first and last name: XXX XXX
Q5. Month and year of birth: 09/1991
Q6. Last four digits of SSN: 3171
Q9. How old are you?: DK
Age: 18-24
Gender: Male
Q11. Are you Hispanic or Latino?: No
Race: Black or AA
Served in the US Armed Forces: DK/REF
Q14. Were you ever called to active duty?: No
Q15. Have you ever received healthcare or benefits from a VAMC?: Yes
Q16. Is this your first time homeless?: Yes
Length of homeless episode (DAYS): DK/REF
Q18. Number of times in shelters or on street in past 3 years?: DK/REF
Q18a. Total length of time on streets or in shelters.:
Q19. Were you an AB109 early release?: DK/REF
Q20a. Do you drink alcohol?:
Q20b. Do you use illegal drugs?:
Q20c. Do you have ongoing health problems and medical conditions?:
Q20d. Do you have PTSD?:
Q20e. Do you have psychiatric or emotional conditions?:
Q20f. Do you have a physical disability?:
Q20g. Have you ever has a traumatic injury to brain?:
Q20h. Do any of these keep you from holding a job or living in a stable house?: DK/REF
Q20i. Which ones keep you from holding a job or living in stable housing?: DK/REF
Q21. Have you ever received special education services?:
Q22. Do yo have HIV/AIDS?: DK/REF
Q23. Do yo receive any disability benefits?:
Q24. Have you been a victim of domestic violence?: DK/REF
Q4b. First 3 letters of first and last name: LXX WXX
Q5. Month and year of birth2: DK
Are you…: DK
Q6. Last four digits of SSN3: DK
Q7. Relation to Person 1: DK/REF
Q8. Confirm you stayed with Person 1.: DK/REF
Q8a. Where were you staying?:
Q9. How old are you?4: DK
Q10. Are you male, female or transgender?: Female
Q11. Are you Hispanic or Latino?5: No
Q12. What is your race?6: Black or AA