Post Prison Survey

Post Prison Survey

A survey created by Oregon CURE.
Please fill out the information below:

Date of ReleaseCounty 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?

YesNo
Did you participate in a Reentry Program prior to release?

YesNo
What was the name of the Reentry Program?
How long have you been in the Reentry Program?

Less than 1 Month1 - 3 Months4 - 6 Months6 Months - 1 YearLonger than 1 Year
What was the name of your Release Counselor?
How many times did you see your Release Counselor prior to release?

1 Time2 Times3 TimesMore than 3 times

Release planning questionnaire:

	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?

Please rate the programs you have participated in while incarcerated:

	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?

YesNo
Upon Release, were you provided with copies of your Birth Certificate?

YesNo
Upon Release, were you provided with copies of your Social Security Card?

YesNo
Were you offered the opportunity to obtain your State ID at the DMV?

YesNo
Did you work for OCE while incarcerated?

YesNo
How would you rate your experience with OCE in terms of job prep experience for release?

PoorFairGoodExcellent
Is there anything else you'd like to share about your release experience?
Should be Empty: