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Survey for Parent Clients 

Our exit survey helps us gather important information about the families we serve, including their future goals. This data allows us to better tailor our services, track the impact of our work over time, and identify areas where the program can grow. It also provides valuable evidence to share with potential funders and partners, strengthening our ability to secure grants and expand support for the families in our community.

Current living situation
Sober living housing
Low income housing
Other intermediate housing
Permanent housing (rent)
Permanent housing (own)
Transportation
No transportation
Family car
I have my own car
Highest level of education
Some high school
High school diploma
Some college
Trade school certification
Associate's degree
Bachelor's degree or higher
Current employment status
Unemployed
Part time (less than 30 hours)
Full time (30+ hours/wk)
Current household income
Less than $15,000 yearly
$15,000 - $24,999 yearly
$25,000 - $34,999 yearly
$35,000 - $44,999 yearly
$45,000 - $54,999 yearly
$55,000 - $64,999 yearly
$65,000 - $74,999 yearly
$75,000 - $84,999 yearly
$85,000 - $94,999 yearly
$95,000+ yearly
Current public assistance programs
Current bank accounts

Mosaic Advocacy is an equal opportunity organization and does not discriminate based upon ethnicity, race,

gender, religion, disability, age, sexual orientation, national origin, socioeconomic background or any other status.

Mosaic Advocacy is a registered 501(c)3 nonprofit.

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