2. Self-Report Survey - Community Supervision Assessment Tool
4. Name:*
5. Today's Date:*
   Today's Date:
7. The following questions ask about several things in your life, such as education, employment, family, friends, and your beliefs. Please answer the questions the best you can. There are no right or wrong answers to these questions.
9. 1. Highest education:*

   1. Less than 12th Grade
   2. High School Graduate
   3. GED
   4. College
11. 2. In school were you ever suspended or expelled?*

    1. Yes
    2. No
13. 3. How long have you lived at your current address?*
15. 4. How many address changes have you had in the past 12 months? (Do not count incarceration.)*
17. 5. What is the age that you first began regularly using alcohol?*
19. 6. How long has it been since you last drank alcohol?*
21. 7. What is the longest period of time you have abstained from drinking?*
23. 8. What percent of your close friends have been in trouble with the law?*
25. 9. Would you say that you live in a "high crime" neighborhood?*

    1. Yes
    2. No
26. 10. Were you employed at the time of your arrest?*

    1. Yes
    2. No
28. 11. If yes, how many hours per week did you work?
30. 12. Are you currently employed?*

    1. Full-time
    2. Part-time
    3. No, I am on disability
    4. No, I am retired
    5. No, I am not currently employed
32. 13. In your opinion, do you have a lot of free time?*

    1. Yes
    2. No
34. 14. On average, approximately what percent of your week is considered free time?*
36. For the following statements, select the answer that best describes how you feel.
38. 15. How easy would you say it is to acquire drugs in your neighborhood?*

    1. 1 Very easy
    2. 2
    3. 3
    4. 4 Very difficult
40. 16. Are you satisfied with your current marital situation? (If single, how satisfied are you with being single?)*

    1. 1 Not satisfied
    2. 2
    3. 3
    4. 4 Very satisfied
42. 17. How would you rate your current financial stability?*

    1. 1 Cannot pay bills
    2. 2
    3. 3
    4. 4 Can pay bills and have extra money
44. 18. Are you satisfied with your current housing situation?*

    1. 1 Not satisfied
    2. 2
    3. 3
    4. 4
    5. 5 Very satisfied
46. 19. Please rate the level of emotional and personal support you receive from family and friends.*

    1. 1 No support
    2. 2
    3. 3
    4. 4
    5. 5 Great deal of support
48. 20. Please rate how satisfied you are with the level of support you receive from family and friends.*

    1. 1 Not satisfied
    2. 2
    3. 3
    4. 4
    5. 5 Very satisfied
50. 21. I'm often upset when I hear about other people's problems.*

    1. 1 Strongly agree
    2. 2
    3. 3
    4. 4
    5. 5 Strongly disagree
52. 22. Do you think it is ever OK to lie?

    1. 1 Never or only white lies
    2. 2
    3. 3
    4. 4
    5. 5 It is OK to lie
54. 23. Lately, I have felt a lack of control over events in my life.*

    1. 1 Strongly agree
    2. 2
    3. 3
    4. 4
    5. 5 Strongly disagree
56. 24. I sometimes find it exciting to do things for which I might get into trouble.*

    1. 1 Strongly agree
    2. 2
    3. 3
    4. 4
    5. 5 Strongly disagree
58. 25. Would others describe you as someone who walks away from a fight or the first to get into it?*

    1. 1 Walks away
    2. 2
    3. 3
    4. 4
    5. 5 First one in
60. 26. How much do you agree with the statement: "Do unto others before they do unto you"?*

    1. 1 Strongly agree
    2. 2
    3. 3
    4. 4
    5. 5 Strongly disagree
62. Testing

    1. Alex Stephens
    2. Andrew Schulze
    3. Angela Wilcox
    4. Bill Connett
    5. Brandon Kleist
    6. Brett Michna
    7. Dan Morse
    8. Dawn Askins
    9. Desirae Jackson
    10. Doug Hay
    11. Haylee Bruce
    12. Jim Serblin
    13. Jon Dunn
    14. Laveta Carney
    15. Leo Orban
    16. Linnea Gustafson
    17. Matt Malmgren
    18. Timothy Weldy
    19. Troy Monk
    20. William Blundell
    21. Zack Bitner
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