I Need Housing

Pathways Needs Assessment Survey

If you or someone you know is in need of housing, please let us know by filling out our ongoing needs assessment below. By filling out this form you will help provide us with a greater understanding of the housing needs for those with mental illness in our community and help us plan for the future.

The purpose of this survey is to be able to provide quantitative data on the housing needs in our community to the state, grantees and donors in order to gain more assistants to meet the growing need in our community.

If you have any housing questions, please include them in the survey.

Name

First Name

Last Name

Your email will only be used for the purpose of this survey unless you select to sign up for news and updates.

City/Town

State

What housing is of interest to you?

select all that apply

MRO Group Home (most support with 24/7 house supervision)

Supportive Housing (some support with 24/7 house supervision)

Supervised Housing (independent living with some support)

How did you hear about Pathways?

May we contact you?

Yes, but only about housing

Yes, I want to receive all news and updates about Pathways

Comments and/or Questions