United States Probation Office, District of Columbia Exit Survey

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* 1. Name (optional)

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* 2. Today's Date

Date

Date

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* 3. Officer(s) During Supervision:

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* 4. Please read each statement. Check the box that best describes your opinion of each statement.

	Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree
My probation officer was firm but fair.	My probation officer was firm but fair. Strongly Agree	My probation officer was firm but fair. Agree	My probation officer was firm but fair. Undecided	My probation officer was firm but fair. Disagree	My probation officer was firm but fair. Strongly Disagree
My probation officer was a positive role model.	My probation officer was a positive role model. Strongly Agree	My probation officer was a positive role model. Agree	My probation officer was a positive role model. Undecided	My probation officer was a positive role model. Disagree	My probation officer was a positive role model. Strongly Disagree
My probation officer helped me to learn how to solve my problems.	My probation officer helped me to learn how to solve my problems. Strongly Agree	My probation officer helped me to learn how to solve my problems. Agree	My probation officer helped me to learn how to solve my problems. Undecided	My probation officer helped me to learn how to solve my problems. Disagree	My probation officer helped me to learn how to solve my problems. Strongly Disagree
My probation officer helped to arrange various services for me.	My probation officer helped to arrange various services for me. Strongly Agree	My probation officer helped to arrange various services for me. Agree	My probation officer helped to arrange various services for me. Undecided	My probation officer helped to arrange various services for me. Disagree	My probation officer helped to arrange various services for me. Strongly Disagree
My probation officer assisted me in securing employment.	My probation officer assisted me in securing employment. Strongly Agree	My probation officer assisted me in securing employment. Agree	My probation officer assisted me in securing employment. Undecided	My probation officer assisted me in securing employment. Disagree	My probation officer assisted me in securing employment. Strongly Disagree
My probation officer communicated with me openly and respectfully.	My probation officer communicated with me openly and respectfully. Strongly Agree	My probation officer communicated with me openly and respectfully. Agree	My probation officer communicated with me openly and respectfully. Undecided	My probation officer communicated with me openly and respectfully. Disagree	My probation officer communicated with me openly and respectfully. Strongly Disagree
My probation officer helped to motivate me.	My probation officer helped to motivate me. Strongly Agree	My probation officer helped to motivate me. Agree	My probation officer helped to motivate me. Undecided	My probation officer helped to motivate me. Disagree	My probation officer helped to motivate me. Strongly Disagree
My probation officer included my family in my supervision.	My probation officer included my family in my supervision. Strongly Agree	My probation officer included my family in my supervision. Agree	My probation officer included my family in my supervision. Undecided	My probation officer included my family in my supervision. Disagree	My probation officer included my family in my supervision. Strongly Disagree
Being on supervision has had a positive effect on my life.	Being on supervision has had a positive effect on my life. Strongly Agree	Being on supervision has had a positive effect on my life. Agree	Being on supervision has had a positive effect on my life. Undecided	Being on supervision has had a positive effect on my life. Disagree	Being on supervision has had a positive effect on my life. Strongly Disagree
When I did the right thing, my probation officer acknowledged it.	When I did the right thing, my probation officer acknowledged it. Strongly Agree	When I did the right thing, my probation officer acknowledged it. Agree	When I did the right thing, my probation officer acknowledged it. Undecided	When I did the right thing, my probation officer acknowledged it. Disagree	When I did the right thing, my probation officer acknowledged it. Strongly Disagree

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* 5. What bad experiences did you have during supervision?

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* 6. How can our office improve the services/supervision that we provided to you?