In the past 12 months has the electric, gas, oil, or water company threatened to shut off services in your home?
Yes
No
Already shut off
In the past 12 months has the electric, gas, oil, or water company threatened to shut off services in your home?
Yes
No
Already shut off
How often do you have trouble paying for your utilities (e.g., electric, gas, oil, water, or phone)?
Often
Sometimes
Never
Not applicable/I don’t pay for utilities
Has the electric, gas, oil, water or
phone company threatened to shut off
services in your home?
Yes
No
Already shut off
Not applicable/I don’t pay for utilities
In the last 12 months, has the electric, gas, oil or water company threatened to shut off your services in your home?
Yes/ No
Do you have trouble paying your heating or electricity bill?
Yes/ No
In the last 12 months, has the electric, gas, oil, or water company threatened to shut off your services in your home?
Yes/No
Within the past 12 months, have you been unable to get utilities (heat, electricity) when it was really needed?
Yes/ No
In the past year, have you or any family members you live with been unable to get any of the following when it was really needed
Utilities: Yes/No
Phone: Yes/No
Do you have trouble paying for your utilities (gas, electricity, phone)?
Yes/No
In the past 3 months, did you have trouble paying for any of the following? (Select ALL that apply)
Heat and electricity
University of San Francisco California