8/8/2019 2011 Unsheltered BoS PIT Observation Tool
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Unsheltered Homeless OBSERVATION ONLY
STATE OF WEST VIRGINIA- Homeless Demographic & Needs Survey
2011Instructions: COMPLETE ONE ROW FOR EACH ADULT OR UNACCOMPANIED
HOMELESS CHILD BETWEEN
4PM, JAN 27, 2011 THROUGH 4PM, JAN 28, 2011
Complete this only for those who refuse the long survey, are
observed sleeping, or presents a communication barrier with
volunteer.
Homeless Household Type/Size Head of Household Adult
(18+) or Unaccompanied
Youth (
8/8/2019 2011 Unsheltered BoS PIT Observation Tool
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Unsheltered Homeless Count Tool - Observation Only
Instructions
Question 1. Homeless. If person appears to meet HUDs criteria of
living in a place not meant for human habitation (e.g., tent,
vehicle, park bench, etc.), mark
Definitely.
Question 2. Household Type/Size. Must answer the category of
household along with the total numbers of persons. If you are
unsure about the household
configuration or ages observed, make your best guess.
Question 3. Head of Household. Must answer the category of Head
of Household. If you are unsure about the configuration, make your
best guess.
Question 4. Race/Ethnicity. Enter the appeared race/ethnicity.
If you are unshared, make your best guess.
Question 5. Location Where Observed. Provide a general
description of where you saw him/her, type of clothing,
distinguishable emblems on clothing, etc.
