Post Prison Survey
A survey created by Oregon CURE.
Please fill out the information below:
Date of Release
County of Release
Where were you incarcerated for the last six months of your sentence?
Were you offered participation in a Reentry Program prior to release?
Yes
No
Did you participate in a Reentry Program prior to release?
Yes
No
What was the name of the Reentry Program?
How long have you been in the Reentry Program?
Less than 1 Month
1 - 3 Months
4 - 6 Months
6 Months - 1 Year
Longer than 1 Year
What was the name of your Release Counselor?
How many times did you see your Release Counselor prior to release?
1 Time
2 Times
3 Times
More than 3 times
Release planning questionnaire:
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My release counselor was responsive to my needs and readily available to assist when I had questions.
I felt confident that my release was on track.
My release counselor helped me secure housing (if applicable) or other needs prior to release.
Were these staff helpful to your release planning?
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Corrections Officers
Reentry Staff
Treatment Providers
Volunteers
Please rate the programs you have participated in while incarcerated:
Rows
Poor
Fair
Good
Excellent
Non-Violent Communication
Pathfinders
NA/AA
Anger Management
Bible Study / Religious Programs
Finance Class
Parenting Class
Insite/Out College Classes
Where did you take these programs that you participated in?
Please list any other programs you participated in while incarcerated that were not mentioned above.
Were you provided with a supply of your medications when released?
Yes
No
Upon Release, were you provided with copies of your Birth Certificate?
Yes
No
Upon Release, were you provided with copies of your Social Security Card?
Yes
No
Were you offered the opportunity to obtain your State ID at the DMV?
Yes
No
Did you work for OCE while incarcerated?
Yes
No
How would you rate your experience with OCE in terms of job prep experience for release?
Poor
Fair
Good
Excellent
Is there anything else you'd like to share about your release experience?
Submit
Should be Empty: