Provider survey regarding the elimination of General Assistance

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We are monitoring the human and financial impacts of the recent cut off of General Assistance. As a provider of services to former recipients of General Assistance, we are asking you to share what you have observed about the impacts of this decision.

Your name and your agency will be kept confidential unless you indicate otherwise immediately below. In general, by allowing us to use specifics when we deal with reporters, other media, and legislators, your information will have more impact. May we share your identity and the results of this survey? *

Yes

What is your name and job title?

What is your email address?

What is your phone number?

In what county (or counties) is your organization?

What type of programs or services does your agency provide? (e.g. housing, rehabilitation services, domestic violence program, special needs, other)

Approximately how many clients did you serve each month who were receiving General Assistance?

What has happened to clients who have lost their General Assistance?

Please check all those that apply

Clients have been forced to move from their previous housing & are now homeless

Clients are not able to attend appointments due to lack of transportation

Clients have difficulty obtaining medications because they can't afford co-pays

Clients' stress levels have increased and mental health issues have worsened

Other:

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What have been the most important impacts on your clients from the ending of General Assistance? How has your agency tried to respond?

Please be as specific as possible.

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