VolyService Pre-Program Evaluation
Instructions: VolyService will be evaluating the effectiveness of the Community Service Restitution program and in doing so, we are asking for your help in responding to the questions below. You will receive another survey at the end of the program and again in 90 – 120 days.
Sign in to Google to save your progress. Learn more
Participant Name *
Participant date of birth  *
MM
/
DD
/
YYYY
Program start date: 
MM
/
DD
/
YYYY
Program end date (estimated): 
MM
/
DD
/
YYYY
What is your County of residence? 
Clear selection
Which Court sentenced the community service hours? 
How many community service hours were mandated? 
Date of offense: 
MM
/
DD
/
YYYY
Date of court sentence: 
MM
/
DD
/
YYYY
Type of offense:
Was your offense(s) aggravated? 
Clear selection
Have you ever been arrested or charged with any of the following (not including the offense(s) you are currently doing community service for): 
Were your past offense(s) aggravated? 
Clear selection
Is this your first time completing community service? 
Clear selection
If this is not your first time completing community service, when and for what type of offense(s)? 
What is your gender?
Clear selection
What is your race/ethnicity (check all that apply)?
What is your marital status? 
Clear selection
What is your employment status? 
Clear selection
Have you served in the U.S. Armed Forces? If yes, please select branch. If no, please select "N/A". 
Clear selection
What is the highest level of education you have completed? 
Clear selection
What is your estimated annual household income?
Clear selection
Which category best describes your household? 
Clear selection
Instructions: VolyService will be evaluating the effectiveness of the Community Service Restitution program and in doing so, we are asking for your help in responding to the questions below. You will receive another survey at the end of the program and again in 90 – 120 days.
What do you expect to gain from your participation in the Community Service Restitution program? 
I expect to learn new skills and knowledge
Clear selection
I expect to use my current skills and abilities
Clear selection
I would like to receive mentorship during the assignment 
Clear selection
I am not looking forward to my community service restitution placement
Clear selection
I expect open/clear communication with my supervisor and staff
Clear selection
I expect staff to be professional and helpful
Clear selection
I expect my roles and responsibilities to be clearly explained
Clear selection
I think my workload will be unreasonable
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report