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 |