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Program Survey for Parents in Prison Groups-2016

Please take a few minutes out of your group time to complete this survey. We need your honest feedback to know if the groups are helpful and how to make them better. Surveys are anonymous, therefore please do not put your name on the survey.

Thank you.
 
 
 
TELL US ABOUT YOURSELF.

What is your gender?
 
Male
 
Female

 
 
What is your highest level of education completed?
 
Less Than High School
 
High School Diploma/GED Completed
 
Some College
 
College Completed
 
Some Graduate School
 
Graduate School Completed

 
 
What is your families' approximate average yearly income?
 
Under $10,000
 
$10,000-$20,000
 
$20,000-$30,000
 
$30,000-$50,000
 
Over $50,000

 
 
How long have you been attending group?
 
1 to 8 weeks
 
9 to 16 weeks
 
4 to 6 months
 
More than 6 months

 
 
 
TELL US ABOUT YOUR FAMILY
 
 
Number of Children
   
 
 
 
Children's Ages (Select all that apply)?
 
0-6
 
7-12
 
13-18
 
Over 18

 
 
Who was the primary caregiver before your incarceration?
 
Self
 
Grandparent
 
Another Adult
 
Sibling
 
Biological Mother/Father
 
Step-Parent
 
Foster Care/DCF
 
Other
 
 
 
 
Who is the primary caregiver during your incarceration?
 
Self
 
Grandparent
 
Another Adult
 
Sibling
 
Biological Mother/Father
 
Step-Parent
 
Foster Care/DCF
 
Other