DEMO BoS 2024 Vermont Emergency Shelter Point in Time Count

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Complete this form on:
Wednesday, January 24, 2024 (6PM – 6AM “Where are you currently staying?”)
OR Thursday, January 25, 2024 (6AM – 6PM “Where did you stay last night?”).

To get an accurate count and avoid duplication it is very important to have the Minimum Information Requested: INITIALS and DATE of BIRTH

Please read questions carefully. Note that you will have the opportunity to edit your responses at the end of the survey, if necessary.

Project Name on HIC *

Staff/Volunteer Name (First & Last) *

Staff/Volunteer Contact *

Phone & Email

SURVEYOR: Is this the first time you (or your team) are filling out a survey with this individual/family during this Point in Time? *

Yes

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