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2016
March
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Parents Helping Parents
Parents Helping Parents
PARENTS HELPING PARENTS
0%
Exit Survey
Program Survey for Parents in Prison Groups-2016
Please take a few minutes out of your group time to complete this survey. We need your honest feedback to know if the groups are helpful and how to make them better. Surveys are anonymous, therefore please do not put your name on the survey.
Thank you.
TELL US ABOUT YOURSELF.
What is your gender?
Male
Female
What is your highest level of education completed?
Less Than High School
High School Diploma/GED Completed
Some College
College Completed
Some Graduate School
Graduate School Completed
What is your families' approximate average yearly income?
Under $10,000
$10,000-$20,000
$20,000-$30,000
$30,000-$50,000
Over $50,000
How long have you been attending group?
1 to 8 weeks
9 to 16 weeks
4 to 6 months
More than 6 months
TELL US ABOUT YOUR FAMILY
Number of Children
Children's Ages (Select all that apply)?
0-6
7-12
13-18
Over 18
Who was the primary caregiver
before
your incarceration?
Self
Grandparent
Another Adult
Sibling
Biological Mother/Father
Step-Parent
Foster Care/DCF
Other
Who is the primary caregiver
during
your incarceration?
Self
Grandparent
Another Adult
Sibling
Biological Mother/Father
Step-Parent
Foster Care/DCF
Other
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