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Weekly reports are due every Wednesday. If you are submitting this survey monkey report, it must be submitted before 11:59 PM each Wednesday. If you choose to submit a paper version, it must be turned in to either Hermiston or Pendleton courthouse (for Megan) by 4:30 PM on Wednesdays.

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* 1. Enter first and last name:

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* 2. What Phase are you currently in:

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* 3. When are you eligible to phase up?

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* 4. Is there anything you should share with the team to hold yourself accountable? Such as substance use, risky people or behaviors, missed obligations, etc.

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* 5. Which option below best fits your average hours of sleep for this last week?

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* 6. What contributes to how you rated your sleep above?

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* 7. For this reporting week, list your assigned treatment groups, peer and individual sessions for each day. Enter if you attended or not. If not, explain why. What did you get out of each session? (If you had no obligations on any day, enter that.) *Last Wednesday included in case there were any obligations that did not make it on last week's report.

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* 8. Enter a Yes or No on each day of this reporting week if you provided a drug test to either CCS or the probation office. *Last Wednesday included in case you had a UA that did not make it on last week's report.

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* 9. For mandatory check-ins with TCC, list the date of your last check-in and the date of your next check-in. Don't have a next check-in scheduled? Reach out to Megan at 541-371-6140.

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* 10. Check which topics were discussed at your last check-in with TCC. Mark all that apply.

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* 11. Who else on the treatment court team did you check in with this week? (PO, attorney, peer, DHS caseworker, etc)

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* 12. Did you interact with Law Enforcement, a doctor, or complete any CSW this week? Enter yes or no. If yes to any, describe the interaction or share what date and how many hours you completed CSW.

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* 13. What are TWO short-term goals you hope to achieve this month?

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* 14. Share any progress you've made to reach the above listed goals this week?

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* 15. What is one of your long-term goals or hopes?

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* 16. List TWO good things from the week and share a strength you used this week.

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* 17. Share a challenge from the week. What helped? What was unhelpful?

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* 18. List your top TWO stressors and rate each on a scale of 1-10 (1 is lowest) for severity this week.

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* 19. List THREE recovery skills (coping/stress-relief/relapse prevention) you tried using to cope with stressors. Did they help and why?

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* 20. Who on the treatment court team was helpful this week and how?

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