Supplemental Supports Survey

This survey intends to collect information about how rent bank case managers provide referrals to and report back about supplemental supports provided as part of a larger client care approach. The survey is in two parts: Part 1: Referrals and Part 2: Reporting.

Please answer all questions to the best of your ability to help guide us at BC Rent Bank in our work of building the best and most supportive tools to help case managers conduct their important work with clients.

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- Step 1 of 2

Your name (Optional)

What is your role at your rent bank? *

• Case Manager
• Case Manager and also the person responsible for reporting
• Person responsible for reporting
• Other

Please specify

Referring Clients to Supplemental Supports

Do you currently refer clients to supplemental services and supports?

• Yes, I refer every client to other supports
• Yes, I sometimes refer clients to other services and supports
• I rarely refer clients to services and supports
• I only refer clients to other services and supports at their request
• I never refer clients to other services and supports

What types of supports do you refer your clients to? Your answers will be used to update the list in the CMS.

Which method(s) do you use to determine which supports you should recommend to your clients?

What is and is not working with your current method(s)?

What information do you need on the pre-assessment form, if any, to provide referral services to your clients?

Do you need to collect identity information about your clients to provide adequate and appropriate referral services? Please explain why or why not.

Do you prefer to collect identity information about your clients via:

• Pre-assessment form
• During the interview stage
• I don’t need to collect identity information about my clients
• I’m not sure

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Reporting of Supplemental Supports Provided or Referrals

What value does it bring to your rent bank to track information about supplemental services that your rent bank provides or that you refer clients to? If none, please let us know.

For example: "Tracking supplemental services information is important for our donors" or "Tracking supplemental services information helps us in fundraising and telling a more fulsome story of how rent banks help people".

Specifically, what data would be most useful to collect?

• The number of people supported internally by your rent bank
• The number of people referred to another service
• The type(s) of internal support(s) or referral(s) provided (for example: financial literacy, vocational training, advocacy, food security, etc.)
• Other data points not listed here that would be valuable to collect regarding supplemental supports or referrals.

Select all that apply

Please specify: *

Do you want to be able to export a report of supplemental services your rent bank has entered into the CMS?

• Yes
• No
• I don't know

If yes, please explain how you might use this report *

If you find the supplemental services feature valuable, how might we improve it? Is there anything missing? Is the checklist format working for you or would you prefer another format?

Is there any other information that you would like to share with BCRB regarding collection, recording and reporting of data around identity, supplemental services, or referral services?

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