903Helps

This HELP FORM will help YOU determine your specific needs and make recommendations of agencies that can help.
IT'S ANONYMOUS, EASY, FAST, AND FREE.

In each section below, CLICK the choice you most identify with. You can skip sections.

SUBMIT and you'll immediately get a list of recommended services. Print if you can, or write it down. It will not be saved.

Housing & Shelter

Level 1 - Homeless or threatened with eviction.
Level 2 - Pays more than 1/3 of income for rent, or stays in temporary housing program.
Level 3 - Housing is safe but doesn't meet the family's needs.
Level 4 - Housing is safe and meets our needs. In a housing program where some or all of the rent is covered.
Level 5 - Housing is safe and meets our needs. Not a housing program.

Level 1 - Need childcare.
Level 2 - Have childcare, can't count on babysitter or daycare, or can't afford it, or daycare is not good.
Level 3 - Have childcare, receive program help with the cost.
Level 4 - Have good childcare, don't need help.
Level 5 - Can choose and afford good childcare.

Level 1 - Trouble with reading or math; or no high school diploma/GED. Can't get a job or a better job.
Level 2 - Taking classes for GED; speak English.
Level 3 - Have high school diploma/GED.
Level 4 - Need more education or training for a better job or to live better.
Level 5 - Have good education for a good job.

Level 1 - Have medical need now. No health insurance.
Level 2 - No health insurance and trouble getting medical care. Someone at home needs medical care.
Level 3 - Some family members have government health insurance. (CHIP, STAR, MEDICAID, etc.)
Level 4 - All family members can get medical care when needed, but it's hard to afford.
Level 5 - All members are covered by affordable health insurance.

Level 1 - No access to transportation, public or private; may have a car that doesn't work.
Level 2 - Transportation is available, not reliable, not affordable; may have a car but no insurance, license, etc.
Level 3 - Transportation is available and reliable, but schedules don't work well.
Level 4 - Have good enough transportation for what we need.
Level 5 - Have good and affordable transportation.

Level 1 - Danger to self or others; thinking about suicide; have trouble dealing with everyday life.
Level 2 - Have a mental illness that affects me every day, but not a danger to self/others; have problems because of mental illness.
Level 3 - Have a mental illness but only causes problems every once in a while.
Level 4 - No symptoms unless under a lot of stress.
Level 5 - No symptoms, mental health is good.

Level 1 - Need alcohol and drugs all the time, gets in the way of everyday life. Need help.
Level 2 - Need alcohol or drugs; always thinking about using, have withdrawals, gets in the way of everyday life.
Level 3 - Used during last 6 months; have problems with family, friends, and work because I use; I've had these problems for more than a month.
Level 4 - Used during last 6 months, don't have social problems.
Level 5 - No drug use/alcohol abuse in last 6 months.