Word-Import - 6 | QuestionPro

Official Use Only

IGSR Questionnaire Administration Staff: JF CY LW _____ ____

DJS Office Name/Location: ________________________________________

Today’s Date: ____/_____/ 08 ID: _____________

SCREENING & ASSESSMENT

	3. Please indicate the extent to which you agree or disagree with each of the following statements about screening and assessment. (Check R one for each row)


Possible factor in referral decision

	21. Please indicate how much you agree or disagree with each of the following statements about the need for additional guidance or training in your unit. (Check R one for each row)


My office needs additional guidance or training in…

	26. Please indicate the extent to which you agree or disagree with the following statements about your immediate supervisor. (Check R one for each row)


My immediate supervisor…

30. What is your job title? (Check R one)

¨ Unit Director ¨ Assistant Unit Director

¨ Probation Officer I ¨ Probation Officer II

¨ Administrative ¨ Community Service Probation Officer

¨ Intake Officer ¨ Diversion Counselor

¨ Hearing Officer ¨ Adult Probation Officer

¨ SVSE Counselor ¨ Custody Investigator

¨ Family Counselor ¨ Teacher

¨ Parole Officer ¨ Special Placement Coordinator

¨ Other

33. What is your primary responsibility? (Check R ONLY one)

10.What are your primary job responsibilities? (Fill in O all that apply)

	O Discipline clients
O Conduct searches on offenders person

35. Do you currently supervise any clients on informal probation? (Check R one)

¨ No

¨ Yes

a. If yes, please indicate the number of clients who are on informal supervision

36. Do you currently supervise any clients on probation or aftercare? (Check R one)

37. How long have you worked for DJJ?

38. How long have you worked with juvenile offenders (at DJJ and other agencies)?

39. How long have you/did you provide direct case management/supervision

services for juvenile offenders?

years months

40. CSU staff wear many hats. Please check only one of the following which you would consider as your primary role in CSU. We are interested in how you define your work and not your actual job title, training, education, or certifications. (Check R one)

¨ Probation agent that enforces the orders of the court.

¨ Counselor

¨ Case manager

¨ Support staff

¨ A supervisor/manager of other DJJ staff

¨ Administrator

41. What is the highest academic degree you hold? (Check R one)

¨ HS diploma ¨ Associates

¨ Bachelors ¨ Masters

¨ RN/LPN ¨ PhD

¨ Other

42. Do you hold any professional credentials, certifications, or licenses?

43. How would you describe yourself? (Check R all that apply)

¨ White/Caucasian ¨ Black/African-American

¨ Hispanic/Latino ¨ Asian/Pacific Islander

¨ American Indian/Alaska Native ¨ Other :

45. What is your gender? (Check R one)

¨ Male

¨ Female

Official use only ID: