|CHICAGO COORDINATED ENTRY SYSTEM – INDIVIDUAL VULNERABILITY INDEX|
Individual Vulnerability Index
Different housing programs in Chicago offer different types of supports. This screening will help determine which housing program will best fit your needs. I will ask questions about things like your health experiences. Some of the questions are personal in nature and may be difficult to answer. If you do not feel comfortable answering a question, please ask me to skip it. The information you provide will be used to assess eligibility for housing programs and level of service intervention required.
If any of the questions are confusing or you don’t know how to answer, feel free to ask and I will be happy to clarify for you.
It’s up to you how honest you are in this survey, but the more truthful you are, the better we can match you to the right program and support you in finding stable housing.
PLEASE DO NOT PRINT THIS PAGE. IF YOU NEED A PRINTED COPY, PLEASE PRINT THE ATTACHED PDF.
Length of Homelessness
1. What is the total length of time in days you have lived on the streets or shelter?
Disability and Hospitalizations
2. This question asks about a disabling condition, which means any condition that limits your ability to work or perform daily activities. Some examples include a substance abuse disorder, serious mental illness, developmental disability, or chronic physical illness. Have you been diagnosed with a disabling condition?
Client doesn’t know ___
Client refused ___
Data not collected ___
If yes, please answer 1a. If any other response, please continue on to question 2.