Homeless Survey Template: Emergency Home Repairs

This survey template supports organizations that provide emergency home repair services to low-income homeowners, particularly elderly individuals, people with disabilities, and those at risk of losing their housing due to unsafe living conditions. Emergency home repairs such as fixing failed heating systems, repairing roofs, addressing electrical hazards, or remediating mold can be the difference between a family staying in their home and becoming homeless. Collecting client feedback helps organizations ensure these services are delivered effectively and with care.

Many low-income homeowners are one major repair away from displacement. For elderly or disabled residents who have lived in their homes for decades, unsafe conditions can also pose serious health and safety risks. Emergency repair programs fill a critical gap in the social safety net, but the quality of workmanship, timeliness, and client communication are just as important as the repair itself. Feedback from homeowners helps organizations maintain high standards and catch problems early.

This template captures homeowner perspectives on the repair experience, including how quickly the organization responded after initial contact, whether the scope of work was clearly explained before repairs began, the quality and durability of the completed work, the professionalism and respectfulness of repair crews, and whether homeowners felt informed and in control throughout the process.

Survey responses should be reviewed by program supervisors to identify patterns in client satisfaction, flag quality control issues, and inform contractor relationships. Tracking feedback over time helps organizations prioritize the types of repairs most frequently needed in the community, strengthen their intake and triage process, and demonstrate program impact to municipal and foundation funders who support home repair as a homelessness prevention strategy.