Gwent Homelessness Strategy
Service User Consultation

This survey is for people who have experienced homelessness or are at risk of being homeless in Gwent.

By completing this survey you are playing an important part in helping to improve homelessness services.

The responses you supply will be anonymous and will only be used for the purposes of developing a new Gwent-wide Homelessness Strategy.

The survey should take around 5 minutes to complete.

If you would like any further information about this work, including arranging to complete a paper version of this survey, please contact Chris York on: or 01495 766877. Likewise, please contact Chris if you would prefer to complete the survey in Welsh, another language or through another linguistic communication e.g. Braille.
Q1 In which area do you normally live?
Q2a Which statement best describes you?
* A person is at risk of homelessness if it is likely that they will become homeless within 56 days.
Q2b How many times have you been homeless or been at risk of homelessness in the last 2 years?
  Once   Twice   Three times   Four times   More than five times  

  Risk of Homelessness          
Q2c Who would you be most likely to contact first if you were Homeless or threatened with homelessness?
Q3a How would you describe your current living arrangements?
Q3b Are you pregnant or living with someone who is pregnant?
Q3c How many people normally live with you?
Q3d Do any adults live with you because they can't afford to live on their own?
Q4 Where are you currently living?
Q5a What type of accommodation do you expect to move into, after moving on from where you live now? (tick all options that apply to you)
On a scale of 1 - 3, rate the type of housing you'd most like to live in on a permanent basis
(with 1 being the most preferred option and 3 the least preferred).
Q6a Tick all the reasons that you believe contributed to your being homeless or at risk of homelessness? (tick all that apply to you)
Q6b Tick all the types of support that you have received because of these issues (if none leave blank)
Q6c From your own personal experience, are there any types of homless support you feel don't work very well in any of the five areas of Gwent (if none leave blank)
Q6d If so, what can be done to improve homeless support?
Q7 From your own personal experience, can you make any other suggestions that might help prevent more people from becoming homeless? (if none leave blank)
Q8 From your own personal experience, can you make any other suggestions on how to help someone who is homeless in any of the five areas of Gwent?
Q9 What do you think are the four most important issues to focus on to prevent and resolve homelessness?  
We want to ensure that we eliminate discrimination and promote equal opportunities.
By answering the following questions, you will help us to identify whether we are reaching different groups and where we need to improve.
Q10 Do you feel that your experience in accessing homelessness services in any of the five local authorities has been different in any way (better or worse) because of who you are or are perceived to be e.g. age, ethnic origin, language requirements, disabilities, sexual orientation, gender or anything else that makes you an individual?
Q11 What is your age ?
Q12 Gender
Q13 Is your gender identity the same gender as you were assigned at birth?
Q14a Are your day-to-day activities limited due to a health condition or disability which has lasted, or is expected to last, at least 12 months?
Q14b Please select any medical conditions or disabilities that apply to you:
Q15 How would you describe your identity?
Q16 Are you a refugee or asylum seeker?
Q17 Sexual orientation
Q18 Religion
Thank you for completing this survey
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