Answer these questions to get personalized help with housing assistance programs and resources.

Where did you sleep last night?

Have you received an eviction notice or court summons?

Do you feel unsafe at home due to domestic violence?

If you may be in immediate danger, use a safe device and contact emergency services. You may skip details.

Are you worried that you may lose your housing within the next two months?

Are any of these problems present where you live? (Check all that apply)

Does anyone have a disability that affects housing?

Is anyone a U.S. military veteran?

What is your household's monthly income (all sources)?

This helps match you to the right programs — most have income limits.

Who is in your household?

Household size affects shelter bed availability and family program eligibility.

Which of these documents do you have right now?

Check everything you currently have. Your plan will tell you how to get anything missing before your first appointment.

What is your current ZIP code?

Anything else we should know?

Optional — describe any other barriers (immigration status, pending legal case, recent release, medical needs, etc.)