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Probation & Parole Exit Survey
Third Judicial District Department of Correctional Services
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Name
Your answer
State ICON # (7-digit number)
Your answer
County of Residence
Your answer
Today's Date
MM
/
DD
/
YYYY
Race
Your answer
Age
Your answer
Gender (Identify as)
Male
Female
Clear selection
How long were you on supervision?
Your answer
Who was your probation/parole officer at the time the case was closed?
Your answer
Were the front office staff respectful and courteous when you reported?
Always or Usually
Sometimes
Never or Rarely
Clear selection
During your sign-up appointment, the rules of supervision were explained to you so you could understand them?
Yes
No
Clear selection
Was your probation/parole officer helpful and knowledgeable about resources in the community?
Yes
No
Clear selection
Did your probation/parole officer encourage your participation in your supervision plan?
Yes
No
Clear selection
Did your probation/parole officer conduct field visits in a professional and respectful manner?
Yes
No
I did not have field visits with my probation/parole officer
Clear selection
Do you feel you were treated equally regardless of your race, ethnicity, sexuality, gender and/or religion?
Yes
No
Clear selection
Do you wish your probation/parole officer took the time to learn more about you or your life history?
Yes
No
Clear selection
Did you feel your probation/parole officer helped you with your problems?
Yes
No
Clear selection
Did your probation/parole officer treat you as an individual and not just like everyone else?
Yes
No
Clear selection
Did you feel that you could talk to your probation/parole officer and he/she would listen and be respectful?
Yes
No
Clear selection
Would you feel comfortable contacting your probation/parole officer in the future if problems come up?
Yes
No
Clear selection
Do you feel you made improvements in any of the following areas during your probation/parole supervision? Check all that apply.
Education
Employment
Substance Use/Abuse
Decision Making
Friends/Peer Support
Problem Solving Skills
Stability
Mental Health
Sex Offender Treatment
Did you participate in any classes our department offered?
Yes
No
Clear selection
If you answered "yes" to the above question, what did you participate in?
Your answer
Do you feel connected to the outside resources that were provided to you through our department?
Yes
No
Clear selection
What did you like MOST about being on probation/parole supervision?
Your answer
What did you like LEAST about being on probation/parole supervision?
Your answer
What recommendations for improvements do you have?
Your answer
Any additional comments:
Your answer
Would you like a supervisor from the probation/parole department to contact you for additional information?
Yes
No
Clear selection
If you answered "yes" to the above question, what phone number can you be contacted at?
Your answer
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