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Exit Survey
 
 
Thank you in advance for answering the below questions and helping me to complete my college assignment.  Please note that your answers will remain confidential.
 
 
 
 
What is your marital status?
 
Married
 
Single
 
Divorced
 
 
 
How many children do you have?
 
none
 
1
 
2
 
3 or more
 
 
 
How many times have you been in jail?
 
This is my first time
 
2 times
 
3 times
 
4 or more
 
 
 
What is your age?
 
18 - 20
 
21 - 30
 
30 - 40
 
40 +
 
 
 
What is the core cause for being in jail this time (Select all that apply)?
 
selling drugs
 
using drugs
 
domestic violence
 
theft or robbery
 
being in someone's car who had drugs
 
Other ______________________

 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
Do you own a vehicle?
 
Yes
 
No
 
No - but have money and plan to buy one when I get out
 
 
 
Do you have a safe place to live when you get out?
 
No, I don't know where I will go
 
No, but I have arrangements in the works
 
yes
 
Yes, but it's not safe
 
 
 
Describe your relationship with your children?
 
Very good - they are a part of my life
 
Somewhat good
 
Not good
 
Terrible - they won't talk to me