SUPERVISION SURVEY [ADULT PROBATION]

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* 1. What is your Pretrial or Probation Officer's name or ID number?

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* 2. What is your age?

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* 3. What is your gender?

Male

Female

Non-Binary

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* 4. Currently Employed?

Yes

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* 5. Race/Ethnicity

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

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* 6. What is the highest level of school you have completed or the highest degree you have received?

Less than high school degree

High school degree or equivalent (e.g., GED)

Some college but no degree

Associate degree

Bachelor degree

Graduate degree

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* 7. Scroll through the list below and only rate YOUR assigned programs

	Excellent	Very Good	Fair	Poor
Education Program	Education Program Excellent	Education Program Very Good	Education Program Fair	Education Program Poor
Sex Offender Counseling	Sex Offender Counseling Excellent	Sex Offender Counseling Very Good	Sex Offender Counseling Fair	Sex Offender Counseling Poor
Substance Abuse programming	Substance Abuse programming Excellent	Substance Abuse programming Very Good	Substance Abuse programming Fair	Substance Abuse programming Poor
Community Based Correctional Facility (CBCF)	Community Based Correctional Facility (CBCF) Excellent	Community Based Correctional Facility (CBCF) Very Good	Community Based Correctional Facility (CBCF) Fair	Community Based Correctional Facility (CBCF) Poor
Work Release/Home Detention Program	Work Release/Home Detention Program Excellent	Work Release/Home Detention Program Very Good	Work Release/Home Detention Program Fair	Work Release/Home Detention Program Poor
Employment Services	Employment Services Excellent	Employment Services Very Good	Employment Services Fair	Employment Services Poor
Mental Health Services	Mental Health Services Excellent	Mental Health Services Very Good	Mental Health Services Fair	Mental Health Services Poor
Thinking for a Change/SCOPE	Thinking for a Change/SCOPE Excellent	Thinking for a Change/SCOPE Very Good	Thinking for a Change/SCOPE Fair	Thinking for a Change/SCOPE Poor
Domestic Violence Programming	Domestic Violence Programming Excellent	Domestic Violence Programming Very Good	Domestic Violence Programming Fair	Domestic Violence Programming Poor
Day Programming	Day Programming Excellent	Day Programming Very Good	Day Programming Fair	Day Programming Poor

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* 8. Rate the Pretrial or Probation Officer

	Strongly Agree	Agree	Disagree	Strongly Disagree
Listens to what I have to say	Listens to what I have to say Strongly Agree	Listens to what I have to say Agree	Listens to what I have to say Disagree	Listens to what I have to say Strongly Disagree
Wants me to succeed	Wants me to succeed Strongly Agree	Wants me to succeed Agree	Wants me to succeed Disagree	Wants me to succeed Strongly Disagree
Respects my concerns	Respects my concerns Strongly Agree	Respects my concerns Agree	Respects my concerns Disagree	Respects my concerns Strongly Disagree
Asks for my input	Asks for my input Strongly Agree	Asks for my input Agree	Asks for my input Disagree	Asks for my input Strongly Disagree
Treats me with respect	Treats me with respect Strongly Agree	Treats me with respect Agree	Treats me with respect Disagree	Treats me with respect Strongly Disagree
Clearly explains the rules and expectations	Clearly explains the rules and expectations Strongly Agree	Clearly explains the rules and expectations Agree	Clearly explains the rules and expectations Disagree	Clearly explains the rules and expectations Strongly Disagree
Answers my questions	Answers my questions Strongly Agree	Answers my questions Agree	Answers my questions Disagree	Answers my questions Strongly Disagree
Explains other services available to me	Explains other services available to me Strongly Agree	Explains other services available to me Agree	Explains other services available to me Disagree	Explains other services available to me Strongly Disagree
Is available when I need them	Is available when I need them Strongly Agree	Is available when I need them Agree	Is available when I need them Disagree	Is available when I need them Strongly Disagree
Works with me to learn new skills	Works with me to learn new skills Strongly Agree	Works with me to learn new skills Agree	Works with me to learn new skills Disagree	Works with me to learn new skills Strongly Disagree
Recognizes my positive change	Recognizes my positive change Strongly Agree	Recognizes my positive change Agree	Recognizes my positive change Disagree	Recognizes my positive change Strongly Disagree

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* 9. Any additional comments about my Officer?

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* 10. My Feelings about Pretrial / Probation

	Strongly Agree	Agree	Disagree	Strongly Disagree
I understand what Pretrial/Probation expects from me	I understand what Pretrial/Probation expects from me Strongly Agree	I understand what Pretrial/Probation expects from me Agree	I understand what Pretrial/Probation expects from me Disagree	I understand what Pretrial/Probation expects from me Strongly Disagree
Being on Pretrial/Probation has helped me make positive changes in my life	Being on Pretrial/Probation has helped me make positive changes in my life Strongly Agree	Being on Pretrial/Probation has helped me make positive changes in my life Agree	Being on Pretrial/Probation has helped me make positive changes in my life Disagree	Being on Pretrial/Probation has helped me make positive changes in my life Strongly Disagree
Pretrial/Probation has helped me get along better with friends and family	Pretrial/Probation has helped me get along better with friends and family Strongly Agree	Pretrial/Probation has helped me get along better with friends and family Agree	Pretrial/Probation has helped me get along better with friends and family Disagree	Pretrial/Probation has helped me get along better with friends and family Strongly Disagree
I am receiving services for the problems that I need help with	I am receiving services for the problems that I need help with Strongly Agree	I am receiving services for the problems that I need help with Agree	I am receiving services for the problems that I need help with Disagree	I am receiving services for the problems that I need help with Strongly Disagree
Since on Pretrial/Probation I am taking more responsibility for my behavior	Since on Pretrial/Probation I am taking more responsibility for my behavior Strongly Agree	Since on Pretrial/Probation I am taking more responsibility for my behavior Agree	Since on Pretrial/Probation I am taking more responsibility for my behavior Disagree	Since on Pretrial/Probation I am taking more responsibility for my behavior Strongly Disagree
Overall, I am satisfied with Pretrial/Probation experience	Overall, I am satisfied with Pretrial/Probation experience Strongly Agree	Overall, I am satisfied with Pretrial/Probation experience Agree	Overall, I am satisfied with Pretrial/Probation experience Disagree	Overall, I am satisfied with Pretrial/Probation experience Strongly Disagree

SUPERVISION SURVEY [ADULT PROBATION]

Question Title

* 1. What is your Pretrial or Probation Officer's name or ID number?

Question Title

* 2. What is your age?

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* 3. What is your gender?

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* 4. Currently Employed?

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* 5. Race/Ethnicity

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* 6. What is the highest level of school you have completed or the highest degree you have received?

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* 7. Scroll through the list below and only rate YOUR assigned programs

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* 8. Rate the Pretrial or Probation Officer

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* 9. Any additional comments about my Officer?

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* 10. My Feelings about Pretrial / Probation

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* 11. Was there any program or service you feel you needed, but did not receive?