Survey for TGNC People in the NYC Shelter System (i.e. DHS/DYCD)
This survey is to gather information about the experiences of Trans and Gender Non Conforming (TGNC) people in the NYC Shelter System. We are collecting information from anyone who has been in a Department of Homeless Services (DHS) or Department of Youth, Children, and Development (DYCD) Shelter in the last year.

Examples of DHS  shelters include Williams, Franklin, Stadium, Millennium, Marsha's House
Examples of DYCD shelters include Ali Forney Center

This survey is a tool of the Sylvia Rivera Law Project (SRLP) Shelter Organizing Team (SOT) please do not share or reproduce without contacting us first mbt@srlp.org. This survey was inspired by SOT leader Tanya Lee Price, co-lead organizers Synthia China Blast and Stephanie Phillips with support from SRLP staff and members.

If you would like to get involved in organizing around your experience or support our Campaign for Safe Shelter go to SRLP.org
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Email *
Today's Date
Name and Shelter (optional)
Which kind of shelters have you been in?
Gender Identity (Check all that apply)
Age (optional)
How many years/months have you been in the shelter system? (DHS for example Broadway House or Marsha's House or DYCD for example Ali Forney Center)
How long have you been homeless for? How many shelters have you been housed in within that time? If you were moved or transferred why?   Tell us about your experience.
Do you feel respected in your shelter?
If no, in what ways? why?
Does shelter staff respect your name and pronouns?
Do you feel the shelter is accommodating your needs?
Were you able to access services in your preferred language?
Clear selection
Were you denied any services that you tried to seek?
Clear selection
If denied what were you denied?
If so why were you denied?
Were you afraid to access services due to the presence of police or security staff?
Clear selection
While living in the shelter have you ever been denied a metro card so that you had to hop a train or bus?
Clear selection
Has your cash benefits or SNAP been reduced because you live in a shelter?
Clear selection
What needs of yours are not being met?
Did the conditions of your shelter cause you or anyone else any health concerns and if so which?
Are you getting help finding housing and moving out of the shelter?
Did DHS or DYCD help connect you to resources available outside the shelter?
Clear selection
Do you feel safe in your shelter?
If you did leave the shelter why did you leave?
If you did leave the shelter were you able to access a safe place?
Clear selection
Tell us about your experience?
If not, in what areas do you feel unsafe?
Physically
Mentally (cognitive)
Emotionally (what you feel)
Inside the shelter
In the neighborhood
Around other clients
Talking to staff
Have you experienced any type of abuse or harassment (physical/mental/emotional) while in the DHS or DYCD shelter system?
By other clients
By staff members or security
Yes
No
Did you feel safe with the security or security staff at your shelter?
Clear selection
Are you afraid of retaliation or have you experienced it for speaking up?
Clear selection
Do you feel you were discriminated against in accessing housing opportunities because of your identity (gender, age, immigration status, sexual orientation, disability)?
Clear selection
Have you ever been retaliated against for calling 311 or advocating on your behalf?
Clear selection
Have you ever filed a Grievance with DHS or DYCD?
Clear selection
If you did file a grievance was in done in a timely manner? And what was the outcome?
Please explain in your own words how you felt about the case management support you got.
Which staff do you feel comfortable speaking with?
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