Please Complete this Survey if Your Agency Provides Housing, Shelter, and/or Services to the Homeless.If you prefer to complete a paper survey, please download the form here. Please note: this survey will be shared with the Lee County Continuum of Care Governing Board. Make sure that only ONE response is submitted per agency.Section I: Agency Contact Information Agency Name (required) Contact Person (required) Position/Title (required) Address (required) City (required) State (required) Zip (required) Office Phone (required) Cell Phone (required) Fax Number Your Email (required) Website (required) Section II: Housing/Shelter Program or Agency Type. Click "Working Definitions" here for explanation of housing typesEmergency ShelterIndicate the total number of each type of Emergency ShelterFamily Units Target Population (See Target Populations here) Family Beds Target Population (See Target Populations here) Individual Beds Target Population (See Target Populations here) Total Number of Beds (Cumulative Total) Target Population (See Target Populations here) Additional Comments Transitional HousingIndicate the total number of each type of Transitional HousingFamily Units Target Population (See Target Populations here) Family Beds Target Population (See Target Populations here) Individual Beds Target Population (See Target Populations here) Total Number of Beds (Cumulative Total) Target Population (See Target Populations here) Additional Comments Permanent Supportive HousingIndicate the total number of each type of Permanent Supportive HousingFamily Units Target Population (See Target Populations here) Family Beds Target Population (See Target Populations here) Individual Beds Target Population (See Target Populations here) Total Number of Beds (Cumulative Total) Target Population (See Target Populations here) Additional Comments Rapid ReHousing/Rental AssistanceIndicate the total number of each type of Rapid ReHousing/Rental AssistanceFamily Units Target Population (See Target Populations here) Family Beds Target Population (See Target Populations here) Individual Beds Target Population (See Target Populations here) Total Number of Beds (Cumulative Total) Target Population (See Target Populations here) Additional Comments Other Permanent HousingIndicate the total number of each type of Other Permanent HousingFamily Units Target Population (See Target Populations here) Family Beds Target Population (See Target Populations here) Individual Beds Target Population (See Target Populations here) Total Number of Beds (Cumulative Total) Target Population (See Target Populations here) Additional Comments Medical HousingIndicate the total number of each type of Medical HousingFamily Units Target Population (See Target Populations here) Family Beds Target Population (See Target Populations here) Individual Beds Target Population (See Target Populations here) Total Number of Beds (Cumulative Total) Target Population (See Target Populations here) Additional Comments How many new units were added this year (Feb 1st 2016 to current date)? Leave at zero if no new units were added. How many new units are currently under development? Leave at zero if no new units were added. Additional CommentsSection III: Services ProvidedMortgage AssistanceStreet OutreachAlcohol & Drug AbuseEmploymentRental AssistanceMobile ClinicMental Health CounselingChild CareUtilities AssistanceLaw EnforcementHealthcareTransportationCounseling / AdvocacyCase ManagementHIV / AIDSFood ServicesLegal AssistanceLife SkillsEducationTANFSocial Security Insurance (SSI)SSDISNAP/Food StampsSubstance Abuse ProgramsMedicaidPrivate/Subsidized Health Ins.Educational ServicesMedicareOther Services Formal MOUs/Agreements (Please List) Additional Comments Related to Services Provided Section IV: Organization Coordinated Assessment Satisfaction SurveyResponses will be used for the improvement of the CoC's Coordinated Assessment System only, and will not affect funding or performance evaluations for the responding agency.Did you refer or receive clients as a result of participating in Coordinated Entry? Yes/No? If yes, was the overall experience satisfactory for your agency and client(s)? Explain. If not, why did you not refer or receive clients? Based on your participation in Coordinated Entry, do you feel that individuals received improved access to the housing assistance they are eligible for? Yes/No, please explain. Was the process of participating in Coordinated Entry a burden on your organization? Yes/No, please explain. In what ways do you feel Coordinated Entry was successful in the past (6 months/year)? Please explain. In what ways do you feel Coordinated Entry in the past (6 months/year) created additional barriers or otherwise could be improved? Please explain. Δ