Housing Plan for Emergency Solutions Grant Quiz Please take this short quiz to let us know how you did on your recent Housing Contract Administration (HCA) Technical Assistance Video! Question Title * 1. How often must Emergency Solutions Grant (ESG) case management be completed? At intake and at least daily. At intake and at least monthly. At intake and at least annually. Question Title * 2. Which KHC HCA Form(s) is/are required for Emergency Solutions Grant (ESG) Housing Plan case management? KHC HCA Form 175 - Initial Client Housing Plan for ESG KHC HCA Form 176 - Ongoing Housing Plan Update for ESG KHC HCA Form 177 - Plan to Retain Housing for ESG All the above Question Title * 3. The time spent on filling out HCA Form(s) 175, 176, and 177 is reimbursable to the Emergency Solutions Grant? Yes No Question Title * 4. If your agency already has a case management tracking system, HCA Form(s) 175, 176, and 177 are not necessary? True False Question Title * 5. Please select your rating for each question (1 = not at all satisfied, 10 = completely satisfied). 1 2 3 4 5 6 7 8 9 10 How satisfied are you overall with the HCA Video, Housing Plan for ESG? How satisfied are you overall with the HCA Video, Housing Plan for ESG? 1 How satisfied are you overall with the HCA Video, Housing Plan for ESG? 2 How satisfied are you overall with the HCA Video, Housing Plan for ESG? 3 How satisfied are you overall with the HCA Video, Housing Plan for ESG? 4 How satisfied are you overall with the HCA Video, Housing Plan for ESG? 5 How satisfied are you overall with the HCA Video, Housing Plan for ESG? 6 How satisfied are you overall with the HCA Video, Housing Plan for ESG? 7 How satisfied are you overall with the HCA Video, Housing Plan for ESG? 8 How satisfied are you overall with the HCA Video, Housing Plan for ESG? 9 How satisfied are you overall with the HCA Video, Housing Plan for ESG? 10 Question Title * 6. Comments? Question Title * 7. Please provide your contact information below. Name: Agency: E-Mail Address: Done