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NH Homeless Access Survey Coordinated by NH Department of Health & Human Services Bureau of Homeless & Housing Services 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 1 Bureau of Homeless and Housing Services Our Mission To support a statewide service system that provides a safety net for persons who are homeless or at risk of becoming homeless, Promote statewide access to affordable housing, and Coordinate human service needs. BHHS provides leadership, resources and coordination among a large group of homeless service providers. 01/23/20 NH DHHS Bureau of Homeless and 2 Housing Services: 2011 Service Acce ss Survey Definition of Homelessness He-M 314.02(b) of the State Administrative Rules defines someone who is homeless as: 1. An individual or family that lacks a fixed, regular, and adequate nighttime residence; or 2. An individual or family that has a primary nighttime residence that is: a) A supervised publicly or privately operated shelter or transitional housing; b) An institution other than a penal facility that provides temporary residence for individuals intended to be institutionalized; or

c) A public or private place not designated for, or ordinarily used as, a regular sleeping accommodation for human beings. 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 3 Service Delivery System BHHS funded programs include: 42 Shelters (12 DV, 18 emergency, 6 specialty, 6 transitional); 9 HUD and SAMHSA funded Homeless Outreach Programs; 3 HUD funded Transitional Housing Programs; 16 HUD funded Permanent Supported Housing programs; 10 HUD ARRA funded Homeless Prevention and Rapid Re-Housing programs (HPRP); and 15 Agencies administering various Homeless Prevention Programs. 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 4 State-Funded Homeless and Housing Activities Service Summary, SFY 10 State funded Shelter Service Totals- SFY 10 4,681 persons sheltered (Emergency and Specialty) Of persons sheltered there were: 3,145 single adults (67% of total) 597 families (33% of total) Comprised of: 682

854 01/23/20 adults in 597 families children in families (15% of total) (18% of total NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 5 NH Dept of Education: Children, Youth and Homelessness During the 2010-2011 academic year - schools reported 3,164 homeless children and youth enrolled in NH public schools. 78% (2461) were sharing housing with others (doubled-up) 8% (267) were in hotels/motels 11% (358) in shelters or transitional housing 2% (78) were unsheltered; living in tents, campers, cars, etc. Including From 12 Districts receiving McKinney Vento Funds 351 Homeless Unaccompanied Youth (Homeless Youth under the age of 18 not in the physical custody of parent or legal guardian) 20% increase from the 09-10 academic year 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 6 Annual Point In Time Homeless Count: January 2011 Total Homeless for the State of NH: 2,520 people (1,386 sheltered, 406 unsheltered and 728 temporarily doubled-up (temporarily residing with family/friend);

Of this count, 482 were families) 15% increase from 2010 PIT. 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 7 Annual Point In Time Homeless Count: Per capita comparisons: Unsheltered Jan 2011 PIT Unsheltered NYC 2648 Chicago ILL 884 NH 406 Boston MA 182 Ttl population 8175133 2851268 1316470 645169 Ratio of Unsheltered homeless to the general population 3087 3225 3243 3545 The City of New Yorks Department of Homeless Services divided the citys total population by the total of unsheltered homeless derived from their 2011 Point in Time count to better understand the context of homelessness in this city. The result indicates that out of every 3,087 people who live in New York City, one is likely to be homeless and unsheltered. Using this same

criteria, out of every 3,243 people who live in New Hampshire, one is likely to be homeless and unsheltered. This ratio is similar to York, and 01/23/20 NHNew DHHS BureauChicago, of Homeless andBoston. 8 Housing Services: 2011 Service Acce Source: http://www.nyc.gov/html/dhs/downloads/pdf/hope11_results.pdf ss Survey Average Length of Stay in Shelters funded by or through the State of NH BHHS 60 50 40 30 20 10 0 SFY 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

2006 2007 2008 2009 2010 BHHS shelter capacity reports indicate a 10% increase in shelter utilization from SFY 10. 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 9 The NH Housing 2010 Rental Cost Survey reported that the median cost of a two-bedroom apartment in the State in 2010 was $1,056. At 50% of the statewide Area Median Income (AMI), $35,100, only 11% of units are considered affordable At 30% of the AMI, $21,060, less than 1% are affordable 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 10 01/23/20 NH DHHS Bureau of Homeless and HousingProject, Services: 2011p.18 Service Acce Without Housing: Western Regional Advocacy 2005, ss Survey 11 Homelessness Prevention-Rapid ReHousing Program (HPRP) BHHS HPRP status as of August 31st 2011

PREVENTION 588 Persons (266 households) RAPID RE-HOUSING 786 Persons (377 households) Served Total HPRP Total Persons Served 1367 Total Households Served 641 TOTAL HUD HPRP Award = $4,612,322 TOTAL funds expended all categories through August 2011 = $3,474,882 BALANCE of funds remaining = $1,137,440 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 12 NH Homeless Access Survey Based on the Manchester Homeless Needs Assessment Manchester Continuum of Care Homeless Liaison Committee 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 13

Participating schools University of New Hampshire, Durham University of New Hampshire, Manchester Keene State College Lakes Region Community College New England College New Hampshire Technical Institute, Concord Rivier College Nashua Community College St. Anselm College Dartmouth College (William Jewett Tucker Foundation) 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 14 Service Access statement Selections Respondents could select one or more of ten statements describing their experience with an identified service 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 15 (1) - I do not need this service. (2) - I have used this service. (3) - I need this service, but have not been able to get it. (4) - I didn't know this service was available. (5) - I would like to use this service but have not yet attempted to access it. (6) - I was told I wasn't eligible for this service. (7) - This service is not available where I live. (8) - The service helped me.

(9) - I don't have transportation. (10) - I can't get the service because I don't have an address. 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 16 Statewide Survey respondents by age 24% 19% 19% 15% 11% 6% 1% 1% 11-17 18-25 01/23/20 26-33 34-41 42-49 50-57 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 58-63

64-71 0% 72-79 17 Manchester Survey respondents by age 25% 18% 20% 19% 9% 6% 1% 0% 64-71 72-79 0% 11-17 18-25 26-33 34-41 42-49 50-57 58-63 Age, by gender 29% 21% 16%

24% 21% 18% 18% 19% 12% 7% 7% 2% 0%0% 01/23/20 11-17 18-25 26-33 34-41 42-49 50-57 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Males Acce Females ss Survey 58-63 1% 0% 0%0%

64-71 72-79 18 Survey Respondents, by Gender Statewide 0.3% Male 44% Female 55% Transgender Survey Respondents, by Gender Manchester 0.0% 39% Male Female Transgender 61% 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 19 Race and Ethnicity Survey respondents, by race

3% 0% 0% 6% 5% White Black Asian Native American Hawaiian or Pacific islander 2 or more races 84% Statewide, 4% answered yes to Hispanic ethnicity. 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 20 Race and Ethnicity: Manchester Survey respondents, by race 4% 1% 0% 8% 6% White Black Asian

Native American Hawaiian or Pacific islander 2 or more races 78% 5.5% answered yes to Hispanic ethnicity. 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 21 Survey location, by CoC 20% Balance of State 51% Manchester Nashua 29% Survey location, by County 20% 2% COOS 8% 4% 6% 6% 8% 29% 5%

13% 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey GRAFTON BELKNAP MERRIMACK STRAFFORD ROCKINGHAM SULLIVAN CHESHIRE N. HILLSBOROUGH S. HILLSBOROUGH 22 Veterans http://www.va.gov/homeless/ 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 23 Were you ever in the Armed Forces? Statewide: 46 (12%) Balance of State: 22 (11%) Nashua: 9 (12%) Manchester: 15 (14%)

01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 24 Survey location, by CoC 20% Balance of State 48% Manchester Nashua 33% SURVEY LOCATION BY COUNTY Veterans, Statewide 15 11 0 3 2 2 2 1 H H N RD CK

RE G G AP O AN AM I A T V U U N O H F LI CO SH IM LK FF L RO RO NG E R I E A RA U O O H B R G S C ER CK

SB SB ST O M L L R IL IL H H NH DHHS Bureau of Homeless and 25 N. S. Housing Services: 2011 Service Acce S O 01/23/20 1 ss Survey 9 Survey respondents by age 35% 30% Veterans, Statewide 25% 20% 15% 10% 5% 0% 11-17 18-25

26-33 34-41 42-49 50-57 58-63 64-71 72-79 Survey Respondents, by Gender How many times homeless in past 3 years? 65% 1.5% 9% 30% Male Female Transgender 2% This episode 01/23/20 only 2-4 5-7 0% 2% 8-10 More than

NH DHHS Bureau of Homeless and 10 Service Acce Housing Services: 2011 ss Survey 89% 26 How long have you been homeless this time? 33% 29% 20% 11% 7% Less than two months 2-4 months 5-7 months 8-10 months Homeless >10 months this time 01/23/20 Type Percent No. Emergency 53% 8 Transitional 33% NH DHHS Bureau of Homeless and5 Housing Services: 2011 Service Acce Day center 13% 2 ss Survey

More than 10 months Veterans, Statewide 27 Probation, Parole, Criminal Records, Penalties related to homelessness. Veterans, Statewide 46% 15% On Probation or Parole 13% Crim inal Record Ticket for being Hom eless Has your criminal record kept you out of housing?/shelters? 29% 10% 01/23/20 NH DHHS Bureau Kept Out of Of Homeless Housing and Housing Services: 2011 Service Acce ss Survey

28 Kept Out Of Shelters Statewide Couldn't get benefits No proof of service. (survey 012) Veteran's Services (n=46) I do not need this service I have used this service I need this service, but have not been able to get it. Every time I accessed benefits have had difficulty accessing these services (survey 001) 22% The VA if you're not already vested in NH can be 54% daunting. (survey 001) Excellent (survey 222) 17% I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. The service helped me. I don't have transportation. 9% Good experience (survey 196) It's been helpful; haven't found a job yet (survey 221) Lost record of service, so ineligible for services. (survey 177) 15% Not sure if eligible (Army National Guard) (survey 225)

20% The VA is not treating request to get housing 28% services. (survey 116) 15% They take care of everything. (survey 076) Used service for education, but quality was dismal (survey 220) 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 29 Frequency and duration of homelessness 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 30 How many times homeless in past 3 years? 62% 31% This episode only 2-4 3% 1% 2% 5-7 8-10

More than 10 How long have you been homeless this time? 28% 27% 23% Statewide 17% 6% 01/23/20 Less than two 2-4 months 5-7 months NH DHHS Bureau of Homeless and months Housing Services: 2011 Service Acce ss Survey 8-10 months More than 10 31 months How many times homeless in past 3 years? 65% 26% This episode only 2-4 4% 1% 4%

5-7 8-10 M ore than 10 How long have you been homeless this time? 30% Manchester 26% 26% 9% Less than two months 01/23/20 2-4 months 5-7 months NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 8% 8-10 months More than 10 months 32 Race: "How long homeless this time?" 77%

87% 12% White 2% Black 0% 0% 3% 3% 0% 0% Asian Native American Hawaiian or Pacific islander More than 10 months (n=101) 2 or more races 10 months or less (n=270) Gender Statewide Male Female Hispanic Ethnicity 01/23/20 5% 6% More than 10 months

10 months or (n=101) less (n=270) 53% 44% 56% 44% 3% 5% NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 33 Interview site by "How long homeless this time?" 60% 46% 35% 20% 17% 15% More than 10 months (n=101) 4% SUD Treatment Day site Transitional/ Specialty Shelter Emergency Shelter

3% 10 months or less (n=270) Statewide 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 34 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 35 Prison or jail Illness or death of family member Alcohol or drug use Personal illness Argument with family or friends Safety for my children safety for myself Family violence Divorce Welfare time limit Unemployment

Eviction/foreclosure Unable to pay rent or mortgage Why did you leave your home? Statewide (Categories overlap; n=374) 35% 30% 25% 20% 15% 10% 5% 0% 01/23/20 Males (n=206) NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey Prison or jail Illness or death of family member Alcohol or drug use Personal illness Argument with family or friends

Safety for my children safety for myself Family violence Divorce Welfare time limit Unemployment Eviction/foreclosure Unable to pay rent or mortgage Why did you leave your home? (Statewide) 35% 30% 25% 20% 15% 10% 5% 0% Females (n=167) 36 Why did you leave your home? (Manchester) 35% 30% 25%

20% 15% 10% 5% 0% il it e f e nt e er s r ce g ce ss ja e el m en s b i d r u n a r l e r s u m n o s le o

ld y tg e g em ie iv lo illn io oy hi r n m u l l m or c f i D m v r c o t r p re na y or m fo ily ily rm rd ris

o re fo e m o / o y s P y a m m l t n f i r l t n r l a e n U e m io Fa fo ho ff Pe af a re W f ct

o o y i s t c y h fe ith Ev Al at a pa w e S t to rd en e l o m b ss gu na e r U A Illn Males (n=67) 01/23/20 Females (n=42) NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce

ss Survey 37 Parents and Children 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 38 Parents and children (n=374) 63% 23% 7% 2% Respondents with Those whose Pregnant at time Not sure if children children were with of interview pregnant at time of them interview Parents and Children Manchester (n=109) 58% 11% Respondents with children 01/23/20

5% 0% Those whose Pregnant at time of Not sure if pregnant children were with interview at time of interview NH DHHS Bureau 39 them of Homeless and Housing Services: 2011 Service Acce ss Survey Parents and Children (n= 234; those who said they have children) 33% 33% 21% 16% 15% 7% 5% One Two 3% 1% Three Four How many children do you have?

2% 0% Five 0% six or more How many are with you now? Parents and Children Manchester (n=63; those who said they have children) 35% 32% 16% 10% One 01/23/20 5% Two 3% Three NH DHHS Bureau of Homeless and How many children you have? Housing Services: 2011 do Service Acce ss Survey

8% 2% Four 5% 0% Five 3% 0% six or more 40 How many are with you now? Children with parents; education 147 84 How many children are living with you now? 74 How many are school age (5 yrs or older)? How many are in school? Children with parents; education Manchester 22 16 01/23/20 15

How many children are How many are school age How many are in school? Bureau of Homeless 41 livingNH withDHHS you now? (5 yrsand or older)? Housing Services: 2011 Service Acce ss Survey Children with parents; education 57% 50% How m any are school age (5 yrs or older)? How m any are in school? Children with parents; education Manchester 73% 68% 01/23/20 How m any are school age NH DHHS Bureau Homeless and (5of yrs or older)? Housing Services: 2011 Service Acce ss Survey How m any are in school? 42 What kind of daytime care is your pre-school age

child receiving? (n=54) 54% 22% Childcare 01/23/20 17% Headstart 4% 4% Other preschool Relative or Friend NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey My child stays with me 43 Comparison by year: type of daytime care, preschool age child. 54% 41% 38% 22% 17%

13% 6% Childcare 4% Headstart Other preschool 2010 survey 01/23/20 3% 4% Relative or Friend My child stays with me 2011 survey NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 44 Statewide, 65 respondents stated that their children needed help from a healthcare professional while they were homeless. Of those, 58 (89%) stated that they were able to access the healthcare when they needed it Children should have healthcare no matter what the situation is Don't punish children for the parents' lives. (survey #275) Where were you able to get health care for your

children from? (n= 58) (Categories overlap) My own Doctor/Dentist 64% Primary Health Care Center Healthy Kids Gold-great help/huge help: Medicaid helps but not enough. (survey 049) 01/23/20 24% Emergency Room/Walk in clinic Healthcare for the Homeless Other NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 43% 10% 7% 45 Statewide, 60 (70%) of the 85 who stated that they have children with them now also stated that they needed TANF I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. 2% 62%

20% 2% 5% Child care issues; time does not add up to 6hrs for child care, 30 hrs of job search; TANF not help with back rent. If your income does not cover TANF ineligible; had a chance to keep my apartment, but they didn't help me. (survey 011) 8% This service is not available where I live. The service helped me. I don't have transportation. I can't get the service because I don't have an address. 01/23/20 0% 65% 10% 0% NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey Been waiting 3 months; pregnant and can't buy things for baby; orientation is a barrier due to pregnant (survey 270) 46 25% 20% 15% 10% 5% 0%

Child Health Care Grid TANF Child Care Child Ed I need this service, but have not been able to get it. I was told I wasn't eligible for this service. I don't have transportation. 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 47 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Child Health Care Grid TANF I have used this service 01/23/20 Child Care Child Ed

The service helped me. NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 48 Probation, Parole, Criminal Records. Relationship to housing/shelter access. 46% 15% 13% 3% On Probation or Parole 01/23/20 Criminal Record Kept Out Of Housing Kept Out Of Shelters NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 7% Ticket for being Homeless 49 Probation, Parole, Criminal Records, Penalties related to homelessness.

Manchester responses, by gender (n=109) 55% 45% 33% 14% 17% 11% On Probation or Parole 7% Crim inal Record All Respondents Males 10% 3% Ticket for being Hom eless Females Has your criminal record kept you out of housing/shelters? (n= 53; those who stated they had a criminal record) 28% 30% 24% 6% Kept Out Of Housing 01/23/20 NH DHHS Bureau of Homeless and

AllService Respondents Housing Services: 2011 Acce ss Survey 7% 5% Kept Out Of Shelters Males Females 50 Primary means of transportation Statewide (Categories overlap) 70% 36% 8% 7% Shelter Transportation Public transportation Borrowed car My own car Primary means of transportation (Categories overlap) 79% 34% Bicycle

3% Shelter Transportation NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 4% Public transportation 01/23/20 6% Borrowed car Manchester My own car 14% Walking Walking 9% Bicycle 20% 51 Prior placement through child welfare/juvenile justice 74, or 19.8% of the 374 people surveyed stated that they were in placement before age 18. In Manchester, 20, or 18.3% of the 109 people surveyed stated that they were in placement before age 18. 01/23/20

NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 52 Placement Type Manchester (Respondents could make more than one choice: categories overlap) 35.0% 30.0% 20.0% 25.0% 25.0% 20.0% 10.0% Other Placement outside of NH Secure Detention Shelter Care Group Home Relative Care Residential

Care Foster Care 5.0% Placement Type (Respondents could make more than one choice: categories overlap) 54.1% Statewide 47.3% 27.0% 33.8% 24.3% 18.9% 24.3% Other Placement outside of NH Secure Detention NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey Shelter Care Group Home Relative

Care 01/23/20 Residential Care Foster Care 2.7% 53 Placement Reason Manchester (Respondents could make more than one choice: categories overlap) 50.0% 30.0% Child abuse and neglect Juvenile delinquency 15.0% 15.0% CHINS - child in need of services Don't know Placement Reason (Respondents could make more than one choice: categories overlap) 48.6% Statewide

31.1% 28.4% 13.5% 01/23/20 Child abuse and Juvenile CHINS - child in NH DHHS Bureau of Homeless and of services neglect delinquency need Housing Services: 2011 Service Acce ss Survey Don't know 54 Age at placement entry and exit Manchester 55.0% 50.0% 30.0% 15.0% 30.0% 20.0% 0.0% Younger than 5 6-12 13-17 Entered Placement

18-23 Left Placement Age at placement entry and exit 41.9%44.6% Statewide 28.4% 27.0% 8.1% Younger than 5 01/23/20 36.5% 8.1% 6-12 13-17 NH DHHS Bureau of Homeless and Left Placement HousingEntered Services: Placement 2011 Service Acce ss Survey 18-23 55 Duration in state care, by age groups (Statewide data, n=72*) Entered care Younger than 5 6-12 13-17

Sbttl Left Care Younger 6-12 than 5 6 13-17 18-23 Totals 3 5 6 20 0 3 0 0 13 15 4 20 32 72 17 *2 age cells =blank 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey

56 Highest grade achieved while in care Manchester 40.0% 25.0% 20.0% 10.0% 0.0% Left care before school age 1-6 7-10 11-12 Finished high school Highest grade achieved while in care 32.4% 28.4% 18.9% 13.5% 4.1% Left care before school age 01/23/20 1-6 7-10 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey

11-12 Finished high school 57 Education during and after placement 40%42% 25% 20% Manchester 42% 21% 10% 0% Left care before school age 1-6 Highest Grade In State Care 7-10 11-12 Finished or more than H.S. Total Ed. Years (inc after leaving placement) Education during and after placement 38% 33% 28% 32% 28%

19% 14% 4% Left care before school age 01/23/20 1-6 7-10 11-12 Finished or more than H.S. NH DHHS Bureau of Homeless and 58 Housing Services: 2011 Service Acce Highest Grade In State Care Total Ed. Years (inc after leaving placement) ss Survey Education acheived Manchester 70% 49% 27% 22% 25% 5% HS diploma/G.E.D. only 2% Post HS/GED

degree, vocational/training certification All respondents (109) 0% Vocation/training certification only No entry Prior placement = "yes" (20) Education level acheived 49% 55% 27% Statewide 22% 16% 2% HS diploma/G.E.D. only 01/23/20 Post HS/GED degree, vocational/training certification 27% 1% Vocation/training certification only

No entry NH DHHS Bureau of Homeless and 59 All respondents (374) Housing Services: 2011 Service Acce Prior placement = "yes" (74) ss Survey Access to treatment http://www.bhchp.org/ourpatients.htm 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 60 256, or 68% of all respondents statewide, stated that they needed some form of medical care while homeless. Of those, 229, or 89 % stated they were able to access treatment. I just found out about Families First; the healthcare van has helped me. (survey Where were you able to get medical care from? (categories overlap) Other 18% 014) Healthcare for the Homeless

28% Emergency Room/Walk in clinic Primary Health Care Center 43% 22% Medical condition persisted, asked for additional help, wasn't provided right away, developed pneumonia (survey 191) My own Doctor/Dentist 01/23/20 33% NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 61 Statewide data 10% 63% 13% 5% 7% 7% 2% 63% 10% 2% Medical Care I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service was available

I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. I can't get the service because I don't have an address. The services I need are not available. They require insurance. (survey 005) Easy to get my children's needs. Have been unable to get meds needed while awaiting approval--2 months. (survey 102) Tried to get healthcare free from hospital but can't get service; paperwork road blocks. (Survey 091) The healthcare van was helpful and was treated well. (Survey 012) 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 62 In Manchester, 73, or 67% of the 109 respondents stated that they needed some form of medical care while homeless. Of those, 69, or 95 % stated they were able to access treatment. It helped me and put me where I needed to be. (survey Where were you able to get medical care from? (categories overlap) Other 19% Healthcare for the Homeless 35% Emergency Room/Walk in clinic Primary Health Care Center My own Doctor/Dentist

01/23/20 027) 36% 10% 22% NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey I went to the emergency room and was not told about the clinic. (survey 017) 63 Manchester data 12% 68% 16% 7% 10% 7% 1% 71% 10% 1% Medical Care I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation.

I can't get the service because I don't have an address. I was amazed at the speed of healthcare and happy about service. (survey 035) 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 64 Statewide, 197, or 53%, stated that they needed mental health treatment at some point. Of those, 122, or 62% stated that they were in treatment at the time of the interview. 9% I do not need this service 64% I have used this service 10% 4% 9% 4% 1% 61% 6% 1% I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. I can't get the service because I don't have an address. Talking with somebody helped; they help with transportation and advice. (survey 030) When available; hard to get into; insurance helped. (survey 313) 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce

ss Survey 65 In Manchester, 53, or 49%, of all respondents stated that they needed mental health treatment at some point. Of those, 27, or 51% stated that they were in treatment at the time of the interview. 11% I do not need this service 64% I have used this service 6% 6% 9% 2% 0% 60% 4% 0% I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. I can't get the service because I don't have an address. You will get the help, but lots of red tape. (survey 058) They helped me to deal with my homelessness, they set me back on right track. (survey 060) 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 66 Statewide, 142, or 38% of all respondents felt that they needed help for alcohol/drug abuse. Of those, 123 (86%) accessed treatment at some

point. 78 (55%) stated that they were in treatment for drug/alcohol abuse now "Where were you able to access treatment? (Categories overlap) 81% 57% 53% 53% Outpatient counseling Residential counseling 7% Detox 01/23/20 Methadone treatment NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey AA-NA 67 Statewide data: treatment for substance use disorders 18% 64% 1% 1% 5% 1% 1% 70% 4% 0%

I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. I can't get the service because I don't have an address. Lots of options, must be willing to help self (survey 306) Partner is recovering; access has been difficult and expensive. (survey 038) 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 68 In Manchester, 49, or 45% of all respondents felt that they needed help for alcohol/drug abuse. Of those, 84% accessed treatment at some point. 59% stated that they were in treatment for drug/alcohol abuse now "Where were you able to access treatment? (Categories overlap) 85% 66% 56% 63% 5% Detox 01/23/20 Methadone treatment Outpatient counseling

Residential counseling NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey AA-NA 69 Manchester data: treatment for substance use disorders 18% 69% 4% 0% 4% 4% 0% 80% 6% 0% I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. I can't get the service because I don't have an address. Manchester is pretty good. If you don't have any money they help. (survey 077) After treatment there is no substance free place to go. (survey 015) 01/23/20 NH DHHS Bureau of Homeless and

Housing Services: 2011 Service Acce ss Survey 70 Statewide data 14% 12% 10% 8% 6% 4% 2% 0% Adult Medical SUD treatment Grid MH treatment I need this service, but have not been able to get it. I was told I wasn't eligible for this service. I don't have transportation. 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 71 Manchester Data 20% 15% 10% 5% 0% Adult Medical SUD treatment Grid MH treatment

I need this service, but have not been able to get it. I was told I wasn't eligible for this service. I don't have transportation. 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 72 Statewide data 72% 70% 68% 66% 64% 62% 60% 58% 56% Adult Medical SUD treatment Grid I have used this service 01/23/20 MH treatment The service helped me. NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 73 Manchester Data 90% 80% 70%

60% 50% 40% 30% 20% 10% 0% Adult Medical SUD treatment Grid I have used this service 01/23/20 MH treatment The service helped me. NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 74 Education, Employment and Transportation 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 75 How many years of education do you have? 41% 39% 75% stated they earned either a H.S diploma or a G.E.D

20% 0% 1-6 7-10 11-12 More than 12 Education achieved (n=374, de-duplicated) 49% 27% 22% 2% 01/23/20 HS diploma/G.E.D. only Post HS/GED degree, Vocation/training vocational/training certification only NH DHHS Bureau of Homeless and certification Housing Services: 2011 Service Acce ss Survey No entry 76 How many years of education do you hav e?

Manchester: 42% education data 34% 25% 0% 1-6 7-10 11-12 More than 12 Education achieved (Manchester) 49% 27% 22% 3% HS diploma/G.E.D. only Post HS/GED Vocation/training No entry degree, certification only 01/23/20 vocational/training NH DHHS Bureau of Homeless and certification Housing Services: 2011 Service Acce ss Survey 77

Statewide, 83, or 22% of all respondents said they were employed (Manchester = 21%). 9.6% of all respondents stated they were working under the table (Manchester = 11%) How long with current job. 35% 30% 22% 11% 2% One month or less 01/23/20 2-4 months 5-7 months 8-10 months NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey More than 10 months 78 Work schedule, by gender 56% 60% 31% 22% 13% 6% 6% Day labor

Seasonal 2% Part time Full time Males 01/23/20 Females NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 79 Currently working + Children are with me now 22% 22% 12% 4% 6% 4% Males Currently working 01/23/20 Females And with children now Child care= "my child stays with me" NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey

80 Work schedule by gender and if with children (Categories overlap) 75% 42% 42% 13% 0% Full Time Part time Males 01/23/20 5% Day labor 13% 5% Seasonal Females NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 81 Other services addressed in the survey 01/23/20

NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 82 SSI/SSDI I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. 43% 24% The process is really long; too long for someone who is struggling. (survey 041) 18% SSDI is my primary source; helped a lot. (survey 045) 3% Signed up for 12 years and haven't gotten it.;2,8 (survey 204) 9% Waiting to hear back;2 (survey 303) 13%

Given less money than is necessary to live in this area;2 (survey 313) 0% 15% Applied, got denied; didn't know how to file appeal paperwork;3 (survey 319) 3% I can't get the service because I don't have an address. The service was good and helped me a lot. (survey 035) 1% 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 83 Manchester SSI/SSDI 44% I do not need this service 24% I have used this service I need this service, but have not 18% been able to get it. I didn't know that this service 4% was available I would like to use this service, but have not yet attempted to 9% access it. I was told I wasn't eligible for 11%

this service. This service is not available 0% where I live. 18% The service helped me. 3% I don't have transportation. I can't get the service because I don't have an address. 1% 01/23/20 Applied; haven't received an answer yet. (survey 070) I am in the process of being dx'd for an injury. (survey 017) Money is always there (survey 027) they suspended my payments and I had to ask why I owe them money. (survey 033) The service was good and helped me a lot. (survey 035) Turner down for SSDI but has SSI--was denied for SSI at first but had to go through an appeal. (survey 059) NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 84 Food Stamps I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this

service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. Because of being homeless I was not able to 9% have food stamps because I was not able to 68% provide the right information (survey 275) I got the card, but with no phone, I could not 7% activate it. (survey 015) 1% Monthly allowance is low (survey 330) Need, if not for the community kitchen 5% (survey 300) Good to have; [local community] kitchen 6% will be closing and food stamps will be vital (survey 279) 1% 56% 3% I can't get the service because I don't have an address. Great help w/food needs (survey 272) Paperwork too hard (survey 269) Not enough money to keep someone healthy (survey 262) 1%

01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 85 Manchester Food Stamps I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. I can't get the service because I don't have an address. I got the card, but with no phone, I could not activate it. 11% 64% (survey 015) 8% (survey 017) 1% 6% 11% 2%

51% 3% Now that I don't have an address I don't know that I can get them. I'm waiting for it to come in. (survey 020) My benefits have been reduced since March. (survey 033) I'm grateful to have the service. (survey 035) Wish they would give me some more. (survey 058) thinks amount is sufficient. (survey 059) Absolutely helpful (survey 073) 0% 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 86 Town Welfare I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me.

I don't have transportation. 39% 33% They bounce you around and down the crack. (survey 050) 11% Don't know where services are; given runaround. (survey 094) 11% Hard to get into; people gave [me] a hard time;2,8 (survey 204) 9% 11% 1% 20% 3% I can't get the service because I don't have an address. They helped me get into shelter, and let me know what to do to get other benefits;2,8 (survey 223) would not help me with any services. (survey 275) Do not agree with how hard to get; health & human services is easier to deal with;2 (survey 306) 2% 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 87

Manchester Town Welfare I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. I can't get the service because I don't have an address. 46% 24% Was on it, but it ran out. 12% Don't like how they treat people, make you feel bad. 9% 10% 17% (survey 056) (survey 058) Dig up business & don't help you. (survey 058) I wouldn't go over there because they're brutal. If you

ask you don't receive. (survey 061) 1% 14% 4% Won't do anything for me. (survey 071) 3% 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 88 Job Training I do not need this service I have used this service I need this service, but have not been able to get it. 53% 19% 9% I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. Not enough vocational training opportunities (survey 408) Not on TANF, not eligible for

DHHS job training (survey 271) process is not clear (survey 264) 8% 11% 2% 1% 9% 4% I can't get the service because I don't have an address. Needs child care (survey 253) They need more "individual friendly" assessments for job training (survey 234) A lot of training offered, I'm over qualified. (survey 220) Need to be more regularly available (survey 139) Want to get back into school. (survey 135) 1% 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 89 Manchester Job Training I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to

access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. I can't get the service because I don't have an address. 54% 21% 10% 8% Was not helpful during the interview process. Wasn't anything more than what I was already doing. (survey 059) 11% 5% 1% 9% 4% 1% 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 90 Legal services/help from another agency for landlord disputes I do not need this service I have used this service I need this service, but have not been able to get it.

I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. 83% 7% I found out about the services afterwards & it was too late. (survey 014) 4% 3% Legal Aid referred me to the mayor and building inspector. They were basically ineffective in helping to eliminate the bed bug issue (survey 143) 3% Legal Aid like a blessing; they make me confident. (survey 275) 4% Have used pro bono services for family court since homeless. (survey 108) 1% 2% 1% I can't get the service because I don't have an address. 0% 01/23/20

I think there should be more out there. Services for single moms is lacking. I looked for help, but could not find any. It is hard as a single mother to know how to present yourself to a judge (survey 357) NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 91 Manchester Legal services/help from another agency for landlord disputes I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. I can't get the service because I don't have an address. 80% 10% legal Aid blew me off and had me work on it alone. (survey 033) 6%

3% 5% 5% 0% 4% 0% 0% 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 92 Help from an organization for rent/utilities I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. 48% 27% Through MH agency; they are helping me (survey 235) 10% On wait list to get help from

housing authority (survey 270) 7% Very helpful, would have found help with a security deposit useful (survey 353) 8% 4% 0% 16% More difficult to get this assistance than it used to be (survey 300) People were very rude to [me] -[I'm] trying hard and getting nowhere; feel that people look down on [me]. Tired of hearing No (Survey 233) 2% I can't get the service because I don't have an address. Rockingham community Action helped (survey 272) 1% 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 93 Manchester Help from an organization from rent/utilities I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service

was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. I can't get the service because I don't have an address. 55% 18% Wouldn't ask them for anything; they are brutal.061 7% 6% "the Way Home" can be helpful but if qualified. 058 7% 6% 0% 10% 2% 0% 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 94 NH Homeless Hotline I do not need this service

I have used this service I need this service, but have not been able to get it. 59% 18% 191) Helped to find shelter (survey 204) 3% I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. They couldn't help me (survey 18% They told me how to get to city welfare, shelter (survey 223) They got me to this shelter (survey 303) 4% 0% 0% 9% 1% service horrible; went to police dept.; if was really homeless would have been in car that night. Gave number for DV that no one answered. (survey 011)

They got me what I needed. (survey 043) I can't get the service because I don't have an address. 0% 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 95 Manchester NH Homeless Hotline I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. I can't get the service because I don't have an address. 66% 14% Have called it and it didn't get me anywhere. (survey 061) It is pretty useful and if I needed it it I would love it. (survey 029) 4% 18%

5% 0% 1% 6% 2% 0% 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 96 Emergency Shelter I do not need this service I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. 26% 61% I came right from the hospital to here. For a homeless person I think this is an ideal situation. I am grateful. (survey 001) 2% We are in a couple situation so

there is nothing available. (survey 017) 3% 1% b/c of issues about my 16 yr old son, I found a friend with a floor instead of using the shelter. (survey 0% It kept me out of the cold. (survey 027) 1% 48% 3% I can't get the service because I don't have an address. 014) Always got into the two shelters I needed to get into. (survey 045) Need cleaner shelter. (survey 090) Crossroads is awesome, well put together, gives you access (survey 263) 0% 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 97 Manchester Emergency Shelter I do not need this service I have used this service I need this service, but have not been able to get it.

I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. I can't get the service because I don't have an address. 01/23/20 32% 59% They have to get the bed bug situation under control! (survey 015) They are very nice people. (survey 022) I was evicted for not improving my current situation within the shelters 4% time frame. (survey 025) You guys do a good job; keeping it clean. (survey 026) 4% 1% 1% The service is good. (survey 028) You are close to a lot of people. (survey 029) 1% 46% 4% The shelter was fine but I was nervous at first. I thought it was like a jail setting but I relaxed. (survey 035)

Very helpful; came through for me; 0% outstanding. (survey 071) NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 98 I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. Domestic abuse Services Sexual Assault Services (n=56) (n=49) 57% 45% 16% 10%

9% 16% 14% 16% 2% 6% 2% 45% 0% 39% 11% 8% I can't get the service because 01/23/20 NH DHHS Bureau of Homeless and I don't have an address. Housing Services: 2011 Service Acce 2% ss Survey Had to walk from shelter to bus and ex, who [I] have restraining order against, found [me] (survey 270) It worked, easy to access it (Survey 168) 99

2% Manchester I have used this service I need this service, but have not been able to get it. I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. I can't get the service because I don't have an address. 01/23/20 Domestic Abuse Services Sexual assault services n=14 64% n=15 53% 14% 7% 7% 13%

7% 7% 7% 7% 0% 36% 0% 60% 14% 0% 0% 0% NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey A lot more people in this center could use it. (survey 061) More people need to be aware of these services. (survey 061) 100 HIV/AIDS Services (n=23) I have used this service I need this service, but have not been able to get it. 61%

0% I didn't know that this service was available I would like to use this service, but have not yet attempted to access it. I was told I wasn't eligible for this service. This service is not available where I live. The service helped me. I don't have transportation. 13% I've been tested once and probably should do it again. (survey 018) Mobile outreach test for HIV/ AIDS (survey 162) Very easy to get help (survey 168) 0% 0% Sought treatment; has been available (survey 265) 0% 39% 17% I can't get the service because I don't have an address. 0% 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 101

Resources NH Homeless Hotline: NH 211 NH DHHS; Bureau of Homeless & Housing Services: 11http://www.dhhs.nh.gov/dcbcs/contact.htm Bernie Bluhm: 271-8388 [email protected] Housing Action New Hampshire 11http://housingactionnh.org National Alliance to End Homelessness: 11http://www.endhomelessness.org 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 102 NH Homeless Access Survey Thank you! 01/23/20 NH DHHS Bureau of Homeless and Housing Services: 2011 Service Acce ss Survey 103

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