We are currently operating a quick survey to gain a snapshot of the present position of homeless in the

U.K. Please help us by completing the online survey.

                         *Required

E-mail Address:*

Are You Homeless Now? * Yes No

If You Have Been Homeless. How Long? * WeeksMonthsYears

How Old Are You? *

Where Are You? * TownVillageCounty

Do You Have Access To A Phone? * Yes No

Do You Have Access To Email? Yes No

What Would Help You Most Of All? *

If You Have Not Been Homeless. Have You Or Anyone You Know Every Been Homeless? * Yes No

If Yes To The Above Question. Was It You Or Someone You Know? * MeSomeone I Know

How Long Were You Or Someone You Know Homeless? * WeeksMonthsYears

Are They Still Homeless? * Yes No

How Old Is The Person In Question? *

Where Are They? TownVillageDon't Leave Blank

Do They Need Help: * Yes No

What Do You Feel Would Help them Most Of All? *

Verification Code:

Enter Verification Code: *

* Required

Thank You For Completing Our Snapshot Survey.