Sample Survey Questions

this is for my friend’s class – I will find a way to put the entire poll up here – right now you can open the Excel Sheet  found in the page “survey” in this site. Thanks!

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Introduction: The purpose of this survey is to gather information on the perception of homelessness and the factors that cause it.            
  Insturctions:           
  Please read survey questions and answer or circle your response.          
  Survey Questions   Circle or write your response      
1 Gender Male Female      
2 Age 15-20 21-30 31-45 46-60 61+
3 Race Hispanic Caucasian Black Asian Other:_____________
4 Who often do you attend regilious services? Never special
occasions
occasionally monthly weekly or more
5 Annual Household Income $0.00-$10,000 $10,001-$35,5000 $35,501-$75,500 $75,501-$100,000 $100,001+
6 Education Level High School Some College College Graduate Graduate School Other:_____________
7 Do you think that domestic violence causes chronic homelessness among women? Strongly Disagree Somewhat Disagree Agree Somewhat Agree Strongly Agree
8 Do you think that men are more likely to become homeless than women? Strongly Disagree Somewhat Disagree Agree Somewhat Agree Strongly Agree
9 Do you think homelessness among young children is child abuse? Strongly Disagree Somewhat Disagree Agree Somewhat Agree Strongly Agree
10 Do you think that social programs will help end homelessness among women and children? Strongly Disagree Somewhat Disagree Agree Somewhat Agree Strongly Agree
11 Do you think that unemployment among women cause homelessness? Strongly Disagree Somewhat Disagree Agree Somewhat Agree Strongly Agree
12 Do you think that the education level of women contributes to homelessness? Strongly Disagree Somewhat Disagree Agree Somewhat Agree Strongly Agree
13 Would you agree that increasing divorce rates contribute to more women and children becoming homeless? Strongly Disagree Somewhat Disagree Agree Somewhat Agree Strongly Agree
14 Would you agree that parents who are homeless creates a cycle of homelessness for children? Strongly Disagree Somewhat Disagree Agree Somewhat Agree Strongly Agree
15 Do you think the government should provide services to porr women and children? Strongly Disagree Somewhat Disagree Agree Somewhat Agree Strongly Agree
16 Do you think there are enough shelters and services for women and children? Strongly Disagree Somewhat Disagree Agree Somewhat Agree Strongly Agree
17 How long do you think the average female led family stays homeless? less then a year more than 2 years 3 to 5 years 6 to 8 years 9 + years
18 What suggestions would you say could help end homelessness?                                                    Please comment in box:  

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