Follow-up survey for impact study participants
Pathway Home Grant Program Evaluation
PH FUP survey_pretest_Oct2023 updates_clean
Follow-up survey for impact study participants
OMB: 1290-0045
51085 Draft PHE Follow-up Survey
Pathway Home Evaluation (PHE)
FOLLOW-UP SURVEY (Draft)
(2023)
List of preloads
Variable |
Description |
Values/Format |
First used at question # |
PH PROGRAM NAME |
Name of the Pathway Home program R is associated with |
Text |
IN3 |
ENROLLDATE |
Date of enrollment |
XX/XX/XXXX |
IN3 |
SSN |
Binary variable to indicate whether or not SSN was collected at enrollment |
Yes No |
IN4 |
INCARCERATED |
Binary variable to indicate whether or not R is currently incarcerated |
Yes No |
B2 |
PROGRAM GROUP |
Binary variable to indicate whether or not R was part of the program group |
Yes No |
C7 |
List of constructed variables/fills:
Variable |
Description |
Source |
Values/Format |
First used at question # |
RELEASE DATE |
Release date associated with incarceration spell at time of enrollment |
Constructed based on response to IN3 |
XX/XX/XXXX |
B1 |
CHILDREN |
Whether or not R has children |
Constructed based on response to B10a |
Yes No |
C28 |
CURJOB1 |
R’s current job where they make the most income |
Constructed based on response to C8 |
Text |
C9 |
A. INTRODUCTION
ALL |
IN1. This survey is part of the Pathway Home Evaluation. Before beginning the survey, you will answer a few questions to confirm that you are the correct person we want to take this survey.
Thank you for being willing to take the survey! It should take around 25 minutes to complete. It asks questions about services you have received, your work, education, housing, and involvement with the criminal justice system. To thank you for your participation, you will receive a gift card worth $25.
As a reminder, the Pathway Home Evaluation is funded by the U.S. Department of Labor to learn about the experiences of those who have received reentry and employment services from Pathway Home grant programs such as [PH PROGRAM NAME]. The U.S. Department of Labor contracted with Mathematica to run the study.
Responses to this survey will be used for research purposes only. The reports prepared from this survey will summarize responses across all study participants. The answers you give us will not be matched to your name or other identifying characteristics in any reports. No one at your home, place of work, or programs you’ve participated in will see your answers. Individual survey answers will not be available to anyone outside the study team.
[WEB ONLY] If you are unfamiliar with the Pathway Home Evaluation or believe you are not the correct respondent for this survey, please call us toll free at [NUMBER] or email us at [EMAIL].
[WEB ONLY] Please click “Next” to continue or close this browser window to exit the survey.
[PHONE ONLY] If you are unfamiliar with the Pathway Home Evaluation or believe you are not the correct respondent for this survey, please let us know now.
ALL |
IN2. Please spell your first and last name.
(STRING 50)
FIRST NAME
(STRING 50)
LAST NAME
ALL |
IN3. According to our records, you enrolled in the [PH PROGRAM NAME] program on [ENROLLDATE] while you were still incarcerated. On what date were you released from that incarceration spell? Your best estimate is fine.
| | | / | | | / | | | | | [RELEASE DATE]
RANGE: (01–12) (01–31) (1930–2025)
NO RESPONSE M
IF SSN = YES |
IN4. What are the last four digits of your Social Security number?
| | | | |
RANGE: (0000–9999)
NO RESPONSE M
IF SSN = NO |
IN5. We did not collect your Social Security number at the time of study enrollment. Please provide your Social Security number. This is just for research purposes and will be kept strictly private.
PROBE: Providing this information is voluntary, however failing to provide it may prevent us from collecting the administrative data necessary for this study.
| | | |-| | |-| | | | |
RANGE: (0000000000–9999999999)
NO RESPONSE M
B. DEMOGRAPHICS
ALL |
NEW
CONTINUE 1
ALL |
EGYO
HH3
Please do not count time in jail or prison, time on the street, or when unhoused.
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select one only
m One 1
m Two 2
m Three 3
m Four or more 4
m Have been incarcerated or homeless since [RELEASE DATE] 5
NO RESPONSE M
if incarcerated = NO |
REO BIF E9
B2. How would you best describe your current living situation?
[PHONE VERSION: Would you say you are…
INSTRUCTION: READ RESPONSE OPTIONS.
Select one only
m Living alone 1
m Living with a partner 2
m Living with friends, roommates, or renting a room 3
m Living with one or both parents 4
m Living with other family 5
m Living in a halfway house or shelter 6
m Living in transitional housing or group home 7
m Living with others as part of a work-release program 8
m Transient 9
m Other (please specify) 10
SPECIFY TEXT: Please specify your other living situation:
(STRING 200)
NO RESPONSE M
if incarcerated = YES |
REO BIF E9
B3. What is your planned living situation for when you are released?
[PHONE VERSION: Would you say you plan to…
INSTRUCTION: READ RESPONSE OPTIONS.
Select one only
m Live alone 1
m Live with a partner 2
m Live with friends, roommates, or rent a room 3
m Live with one or both parents 4
m Live with other family 5
m Live in a halfway house or shelter 6
m Live in transitional housing or group home 7
m No housing planned 9
m Other (please specify) 10
SPECIFY TEXT: Please specify your other living situation:
(STRING 200)
NO RESPONSE M
IF INCARCERATED = NO |
B4. Do you feel that your current living situation is safe?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select one only
m Yes 1
m No 0
NO RESPONSE M
IF INCARCERATED = NO |
B5. Are you worried about where you will live next month?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select one only
m Yes 1
m No 0
NO RESPONSE M
all |
PHE BIF E1
B6. What is your gender?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select all that apply
o Female 1
o Male 2
o Transgender 3
o Non-binary 4
o Other gender identity (SPECIFY) 99
SPECIFY TEXT: Please specify your gender identity: |
|
|
|
|
|
|
o Prefer not to answer r
NO RESPONSE M
ALL |
REO
BIF 23
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select one only
m Some high school 1
m High school diploma or equivalent (GED/HiSET) 2
m Some college 3
m Associate degree or vocational degree (two-year degree) 4
m Bachelor’s degree 5
m Master’s degree or higher 6
m None of these 7
NO RESPONSE…………………………………………………………………………M
ALL |
NG C1a
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select one only
m Yes 1
m No 0
NO RESPONSE M
ALL |
PHE BIF E5
B9. How would you best describe your marital status?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select one only
m Single 1
m In a committed relationship but not married 2
m Married 3
m Separated 4
m Divorced 5
m Widowed 6
NO RESPONSE M
ALL |
PHE BIF E6
B10a. How many children do you have?
PROBE: Include both biological and adopted children.
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
(1-52)
m I do not have any children N
NO RESPONSE M
if B10a = 1-52 |
BFS FS54 mod
B10b. Of those children, how many are you a primary caregiver for?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
(1-52)
m None N
NO RESPONSE M
IF B10A = 1-52 and b10a ≠ B10b |
B10c. Do you have any legal agreements or child support orders that require you to provide financial support for a child?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
PHE BIF E8
Select one only
m Yes 1
m No 2
NO RESPONSE M
C. EMPLOYMENT AND INCOME SUPPORT
if incarcerated = no |
YB
EF1
CONTINUE 1
if incarcerated = no |
YB E1
REO BIF B6
C1. Are you currently working a job for pay?
PROBE: Working for pay can include regular paid jobs, odd jobs, temporary jobs, work done in your own business, jobs or tasks you find using a web or mobile app, “under the table” work, “off the books” work, paid work experience, apprenticeships, or any other types of work you have done for pay.
INSTRUCTION: DO NOT READ RESPONSE OPTIONS. IF THEY SAY NO, ASK IF THEY ARE LOOKING FOR WORK.
m Yes 1
m No, but looking for work 2
m No, and not looking for work 3
NO RESPONSE M
IF C1 = 1 |
NEW
C2. How many jobs do you currently work?
| | |
Range: (01–20)
NO RESPONSE M
[If 1 job, go to C8.]
IF C2 > 1 |
C3. Across all of your current jobs, how many hours do you work in a normal week? Please consider all hours, including any extra hours and overtime. Your best guess is fine.
YEMP-WS1 mod
PROBE: If less than one hour, report one.
| | | |
Range: (01–168)
NO RESPONSE M
IF C2 > 1 |
C4. Across all of your current jobs, how much are you paid?
PROBE: For the purposes of this question, please think about what you are paid pre-tax.
[PHONE VERSION: Is that weekly, once every two weeks, monthly, or yearly?]
NG FUP B16a
DOLLARS AND CENTS
(0-250,000) (0-99)
m Weekly 1
m Biweekly (once every 2 weeks) 2
m Monthly 3
m Yearly 4
NO RESPONSE M
IF C2 > 1 |
C5. Are any of your current jobs in a career you can see yourself in for the long term?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
EGYO E18
Select one only
m Yes 1
m No 0
NO RESPONSE M
IF C2 > 1 |
NG B17
C6. Are the following benefits available to you as part of any of your current jobs?
[PHONE VERSION: Please answer with a yes or no.]
INSTRUCTION: READ RESPONSE OPTIONS.
Select one per row
|
YES |
NO |
a. Health insurance |
1 m |
0 m |
b. Paid time off/Vacation days |
1 m |
0 m |
c. Paid holidays |
1 m |
0 m |
d. Paid sick days |
1 m |
0 m |
e. Retirement or pension plans (for example, 401(l), 403(b), etc.) |
1 m |
0 m |
NO RESPONSE M
if program group = yes |
IF C2 > 1 |
C7. Have you found any of your jobs since [RELEASE DATE] through [PH PROGRAM NAME]?
NEW
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
m Yes 1
m No 0
NO RESPONSE M
IF C2 > 1 |
C8intro. Now let’s shift gears. My next questions are about the current job where you make the most money. Please answer the following questions thinking only about the one job that you make the most income from.
IF C1 = 1 |
YB E5
C8. Where are you currently working? Please tell me the name of the company or employer, or if you are self-employed.
PROBE: We ask this because we have a few questions to ask about your job, such as the date you started and how many hours you usually work a week, and it helps to have the name of your employer to refer to.
CURJOB1 (STRING 255)
m Self-Employed 1
NO RESPONSE M
IF C8 ≠ 1 |
If CURJOB1 ≠ m, fill: [curjob1] if C8 = M, fill: your current employer |
C9. What type of company is [CURJOB1]/[your current employer]? (For example, restaurant, auto repair shop, hospital, etc.)
NG FUP B13
(STRING 255)
NO RESPONSE M
IF C8 ≠ 1 |
NG FUP B14
C10. What is your job title, occupation, or most important duties (for example, nurse aid, distribution specialist, auto/electrical technician, food production worker, etc.)?
(STRING 255)
NO RESPONSE M
IF C8 ≠ 1 |
If CURJOB1 ≠ m, fill: [curjob1] if C8 = M, fill: your current job |
C11. When did you start working at [CURJOB1]/[your current job]?
PROBE: Please provide the month and year. Your best estimate is fine.
YB E9
| | | / | | | | |
MONTH YEAR
Range: [01–12] / [2000–2025]
NO RESPONSE M
IF C8 ≠ 1 |
If CURJOB1 ≠ m, fill: [curjob1] if C8 = M, fill: your current job |
C12. How many hours do you work at [CURJOB1]/[your current job] in a normal week?
Please consider all hours, including any extra hours, overtime, and work you did at home.
YEMP-WS1 mod
PROBE: If less than one hour, report one.
| | | |
Range: (01–168)
NO RESPONSE M
IF C8 ≠ 1 |
If CURJOB1 ≠ m, fill: [curjob1] if C8 = M, fill: your current job |
C13. How much are you paid per hour at [CURJOB1]/[your current job]?
PROBE: For the purposes of this question, please think about your regular scheduled hours, not overtime work.
NG FUP B16a
DOLLARS AND CENTS PER HOUR
(0-99) (0-99)
m I am not paid per hour N
NO RESPONSE M
IF c13 = N |
If CURJOB1 ≠ m, fill: [curjob1] if C8 = M, fill: your current job |
C13a. How much are you paid at [CURJOB1]/[your current job]?
PROBE: For the purposes of this question, please think about what you are paid pre-tax.
[PHONE VERSION: PROBE: Is that weekly, once every two weeks, monthly, or yearly?]
NG FUP B16a
DOLLARS AND CENTS
(0-250,000) (0-99)
m Weekly 1
m Biweekly (once every 2 weeks) 2
m Monthly 3
m Yearly 4
NO RESPONSE M
IF C8 ≠ 1 |
If CURJOB1 ≠ m, fill: [curjob1] if B8 = M, fill: your current job IF phone version: or, do you |
YEMP-WS3_REV
C14. Next, we’d like to understand more about your work schedule at [CURJOB1]/[your current job]. How far in advance do you usually know what days and hours you will need to work?
PROBE: For the purposes of this question, please think about your regular scheduled hours, not overtime work.
[PHONE VERSION: Would you say…]
INSTRUCTION: Read response options.
m 3 days or less 1
m 4 to 7 days 2
m Between 1 and 2 weeks 3
m 3 weeks or more 4
m [or do you] Always work the same schedule 5
NO RESPONSE M
IF C8 ≠ 1 |
If phone: or |
YEMP-WS4
C15. Which of the following statements best describes how your working hours are decided?
PROBE: By working hours, we mean the time you start and finish work, and not the total hours you work per week or month. For the purposes of this question, please think about your regular scheduled hours, not overtime work.
INSTRUCTION: READ RESPONSE OPTIONS.
m Starting and finishing times are decided by my employer and I cannot change them on my own 1
m Starting and finishing times are decided by my employer but with my input 2
m I can decide the time I start and finish work, within certain limits 3
m I am entirely free to decide when I start and finish work[, or] 4
m When I start and finish work depends on things outside of my control and outside of my employer’s control 5
NO RESPONSE M
IF C8 ≠ 1 |
If CURJOB1 ≠ m, fill: [curjob1] if C8 = M, fill: your current job |
NG B17
C16. Are the following benefits available to you as part of your current job?
[PHONE VERSION: Please answer with a yes or no.]
INSTRUCTION: READ RESPONSE OPTIONS.
Select one per row
|
YES |
NO |
a. Health insurance |
1 m |
0 m |
b. Paid time off/Vacation days |
1 m |
0 m |
c. Paid holidays |
1 m |
0 m |
d. Paid sick days |
1 m |
0 m |
e. Retirement or pension plans (for example, 401(l), 403(b), etc.) |
1 m |
0 m |
NO RESPONSE M
IF C8 ≠ 1 |
only display response option 1 if program group = YES |
If CURJOB1 ≠ m, fill: [curjob1] if C8 = M, fill: your current employer |
NEW
C17. How did you find your job at [CURJOB1]/[your current employer]?
INSTRUCTION: Do not read response options.
m Through [PH PROGRAM NAME] [PROGRAM GROUP ONLY] 1
m Through referral from a friend or family member 2
m Job board or job posting 3
m Online advertisement 4
m Temporary staffing agency 5
m Other (please specify) 6
SPECIFY TEXT: Please specify how you found your current job:
(STRING 200)
NO RESPONSE M
IF C2 = 1 and C8 ≠ 1 |
C18. Is your current job in a career you can see yourself in for the long term?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
EGYO E18
Select one only
m Yes 1
m No 0
NO RESPONSE M
IF C8 ≠ 1 |
if phone: or |
NEW
C19. How satisfied are you with your current job?
[PHONE VERSION: Would you say…]
INSTRUCTION: READ RESPONSE OPTIONS.
m Very satisfied 1
m Satisfied 2
m Neutral 3
m Unsatisfied [, or] 4
m Very unsatisfied 5
NO RESPONSE M
if program group = yes |
IF C8 ≠ 1 and c17 ≠ 1 |
C20. Have you found any of your jobs post-release through [PH PROGRAM NAME]?
NEW
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select one only
m Yes 1
m No 0
NO RESPONSE M
IF C8 = 1 |
NG FUP B13 mod
C21. You indicated that you are self-employed. What type of work do you do?
(STRING 255)
NO RESPONSE M
IF C8 = 1 |
C22. How many hours do you work in a normal week?
YEMP-WS1 mod
PROBE: If less than one hour, report one.
| | | |
Range: (01–168)
NO RESPONSE M
IF C8 = 1 |
C23. How much do you make in a normal week?
PROBE: For the purposes of this question, please think about what you make pre-tax. Your best estimate is fine.
NG FUP B16a mod
DOLLARS
(0-250,000)
NO RESPONSE M
IF C8 = 1 |
C24. Is your current job in a career you can see yourself in for the long term?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
EGYO E18
Select one only
m Yes 1
m No 0
NO RESPONSE M
IF C8 = 1 |
NEW
C25. How satisfied are you with your current job?
[PHONE VERSION: Would you say…. ]
INSTRUCTION: READ RESPONSE OPTIONS.
m Very satisfied 1
m Satisfied 2
m Neutral 3
m Unsatisfied 4
m Very unsatisfied 5
NO RESPONSE M
C1 = 2 or 3 |
C26. Have you worked any paying jobs since [RELEASE DATE]?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
NEW
Select one only
m Yes 1
m No 0
NO RESPONSE M
IF incarcerated or if C26 = 1 |
C26a. When did you last work a paying job?
PROBE: Please provide the month and year of when your last paying job ended.
NEW
| | | / | | | | |
MONTH YEAR
Range: [01–12] / [2000–2024]
NO RESPONSE M
IF c1 = 2 or 3 |
C27. What is the MAIN reason you are not currently working?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
[PHONE VERSION: IF MORE THAN ONE REASON GIVEN, SAY: Of those reasons, which would you say is MAIN reason?]
Select one only
YEMP-103400 mod
m Unable to fulfill qualifications 1
m Personal health problems 2
m Unreliable transportation 3
m Instable housing 4
m Unable to find suitable job 5
m Conflicts with other programs or treatments 6
m Incarcerated 7
m Do not want to work 8
m Do not need to work 9
m Other (please specify) 10
SPECIFY TEXT: Please specify the other reason:
(STRING
200)
NO RESPONSE M
if incarcerated = no |
only display response option e if female = YES |
only display response option f if children = YES |
YB E20 mod
C28. In the past month, did you receive any of the following income supports…
[PHONE VERSION: Please answer with a yes or no.]
INSTRUCTION: READ RESPONSE OPTIONS.
PROGRAMMER: CODE ONE PER ROW
Select one per row
|
YES |
NO |
a. TANF or welfare? |
1 m |
0 m |
b. Unemployment insurance? |
1 m |
0 m |
c. SNAP or food stamps? |
1 m |
0 m |
d. Rental assistance or subsidized housing? |
1 m |
0 m |
e. [IF FEMALE: Special Supplemental Food Program for Women, Infants, and Children (WIC)?] |
1 m |
0 m |
f. [IF AT LEAST 1 CHILD: Childcare subsidies?] |
1 m |
0 m |
g. Supplemental Security Income or, Social Security Disability, Retirement, or Survivor’s benefits? |
1 m |
0 m |
h. Assistance with utilities, such as gas, electricity, or water? |
1 m |
0 m |
i. Money from family or friends? |
1 m |
0 m |
j. Any other type of income support? (Please specify) |
1 m |
0 m |
SPECIFY TEXT: Please specify the other type of income support: |
|
|
|
|
|
|
NO RESPONSE M
D. SERVICE RECEIPT
ALL |
YB
EF1
Sometimes
we will ask about services received pre-release or post-release. By
“pre-release” we mean during the time you were
incarcerated. By “post-release” we mean after you were
released or since [RELEASE DATE].
CONTINUE 1
Reentry planning services
all |
display probe if program group = Yes |
EGYO
SR12
PROBE: Please include services provided by any organization.
[PHONE VERSION: Please answer yes or no to each of the following.]
INSTRUCTION: READ RESPONSE OPTIONS.
|
Select one per row |
|
|
YES |
NO |
a. Help getting photo identification, including getting your driver’s license back or reinstated |
1 m |
0 m |
b. Help getting an occupational license reinstated |
1 m |
0 m |
c. Planning for benefits assistance (SNAP, Medicaid, etc.) |
1 m |
0 m |
d. Planning for post-release housing |
1 m |
0 m |
e. Referrals for medical services and/or mental health treatment |
1 m |
0 m |
NO RESPONSE………………………………………………………………………M |
|
|
Work experiences and training related services
ALL |
display probe if program group = Yes |
REO grantee survey mod
D2. Since [ENROLL DATE], have you participated in any occupational skills training in a classroom or other non-workplace setting?
PROBE: Please include any education or training provided by any organization.
Select one only
m Yes 1
m No 0
NO RESPONSE M
IF D2 = 1 |
D2a. Did you participate in these occupational skills training activities….
PROBE: By “pre-release” we mean during the time you were incarcerated. By “post-release” we mean after you were released or since [RELEASE DATE].
INSTRUCTION: READ RESPONSE OPTIONS.
NEW
Select one only
m Pre-release only 1
m Post-release only[, or] 2
m Both pre-release and post-release 3
NO RESPONSE M
IF D2 = 1 |
D2b. Did your occupational skills training lead to an industry-recognized credential?
An industry-recognized credential is a degree, diploma, certificate, or certification that provides recognition of a technical or occupational skill necessary to obtain employment or advance within an occupation. It is developed or endorsed by a nationally recognized industry, professional, or occupational association and/or sought out or accepted by employers within the industry.1 Examples include Certified Welder or HVAC Technician.
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select one only
m Yes 1
m No 0
NO RESPONSE M
1 Definition adapted from https://wdr.doleta.gov/directives/attach/TEGL/TEGL_7-14-Acc.pdf
IF D2b = 1 |
D2c. What industry recognized credential did you receive?
(STRING 255)
NO RESPONSE M
IF D2 = 1 |
D2d. What type of job was this occupational skills training preparing you for?
(STRING 255)
NO RESPONSE M
IF D2 = 1 |
D2e. Did you graduate from or complete the occupational skills training program?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
SNAP C15 mod
Select one only
m Yes, graduated or completed the occupational skills training program 1
m No, stopped participating before graduating or completing the occupational skills training program 2
m Still participating in the occupational skills training program 3
NO RESPONSE M
IF D2e = 2 |
QOP
EGYO YB D2/d5mod
NG
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select all that apply
o Unreliable transportation 1
o The program did not fit in with your schedule 2
o Started a job. 3
o Moved 4
o Had to care for a family member 5
o Had health problems or an injury 6
o Did not like the program 7
o Did not get along with program staff 8
o Did not like or get along with other participants 9
o Was asked to leave 10
o Started a new training or apprenticeship program 11
o The program was not offered for the occupation or industry you wanted to work in. 12
o Became incarcerated. 13
o Other (SPECIFY) 99
SPECIFY TEXT: Please specify the other reason: |
|
|
|
|
|
|
NO RESPONSE M
ALL |
display probe if program group = Yes |
REO grantee survey mod
D3. Since [ENROLL DATE], have you participated in any unpaid training opportunities in a work setting (might be called work-based learning, pre-apprenticeship, or unpaid internship)?
PROBE: Please include any unpaid training opportunities provided by any organization.
Select one only
m Yes 1
m No 0
NO RESPONSE M
IF D3 = 1 |
D3a. Did you participate in these unpaid training activities….
INSTRUCTION: READ RESPONSE OPTIONS.
NEW
Select one only
m Pre-release only 1
m Post-release only[, or] 2
m Both pre-release and post-release 3
NO RESPONSE M
ALL display probe if program group = Yes |
REO grantee survey mod
D4. Since [ENROLL DATE], have you participated in any paid employment-based training (including on the job training, paid internships, apprenticeships, subsidized employment, and transitional jobs)
PROBE: Please include any paid training opportunities provided by any organization.
Select one only
m Yes 1
m No 0
NO RESPONSE M
IF D4 = 1 |
D4a. Did you participate in these paid employment-based training activities….
INSTRUCTION: READ RESPONSE OPTIONS.
NEW
Select one only
m Pre-release only 1
m Post-release only[, or] 2
m Both pre-release and post-release 3
NO RESPONSE M
IF D4 = 1 |
D4b. Did these paid employment-based training activities lead to an industry-recognized credential?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select one only
m Yes 1
m No 0
NO RESPONSE M
IF D4b = 1 |
D4c. What industry recognized credential did you receive?
(STRING 255)
NO RESPONSE M
IF D4 = 1 |
D4d. What type of job was this paid employment-based training preparing you for?
(STRING 255)
NO RESPONSE M
IF D4 = 1 |
D4e. Did you graduate from or complete the paid employment-based training program?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
SNAP C15
Select one only
m Yes, graduated or completed the paid employment-based training program 1
m No, stopped participating before graduating or completing the paid training employment-based training program 2
m Still participating in the paid employment-based training program 3
NO RESPONSE M
IF D4e = 2 |
QOP
EGYO YB D2/d5mod
NG
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select all that apply
o Unreliable transportation 1
o The program did not fit in with your schedule 2
o Started a job. 3
o Moved 4
o Had to care for a family member 5
o Had health problems or an injury 6
o Did not like the program 7
o Did not get along with program staff 8
o Did not like or get along with other participants 9
o Was asked to leave 10
o Started a new training or apprenticeship program 11
o The program was not offered for the occupation or industry you wanted to work in. 12
o Became incarcerated. 13
o Other (SPECIFY) 99
SPECIFY TEXT: Please specify the other reason: |
|
|
|
|
|
|
NO RESPONSE M
Employment-related services
ALL |
display probe if program group = Yes |
EGYO SR 4
YB C5
mod
D5. Since [ENROLL DATE], have you received any of the following employment-related services?
[PHONE VERSION: Please answer yes or no to each of the following…]
PROBE: Please include any employment-related services provided by any organization.
INSTRUCTION: READ RESPONSE OPTIONS.
PROGRAMMER: CODE ONE PER ROW
NLSUI mod
Select one per row
|
YES |
NO |
a. Help exploring different career options, such as taking a career interest assessment or listening to speakers describe workplaces and careers |
1 m |
0 m |
b. Job search assistance, including help filling out an application, writing a resume, or practicing for an interview |
1 m |
0 m |
c. Help learning how to be ready for a job (for example, training on expectations in the workplace, such as being on time, or guidance on ways to communicate effectively and receive feedback) |
1 m |
0 m |
d. Help with other job-related items, such as help getting clothes, uniforms, or tools |
1 m |
0 m |
e. Help with learning how to talk to employers about criminal record |
1 m |
0 m |
NO RESPONSE M
if D5any = 1 |
D5a. Did you participate in these employment-related services...
INSTRUCTION: READ RESPONSE OPTIONS.
NEW
Select one only
m Pre-release only 1
m Post-release only[, or] 2
m Both pre-release and post-release 3
NO RESPONSE M
EGYO
SR12 mod
Legal-related services
all |
display probe if program group = Yes |
D6. Since [ENROLL DATE], have you received help with any of the following legal-related services?
PHONE VERSION: Please answer yes or no to each of the following.
PROBE: Please include any legal-related services provided by any organization.
INSTRUCTION: READ RESPONSE OPTIONS.
|
Select one per row |
|
|
YES |
NO |
a. Help getting legal fees or fines paid or waived |
1 m |
0 m |
b. Help with a housing issue (such as an eviction) |
1 m |
0 m |
c. [IF AT LEAST 1 CHILD: Help with a modification to a child support order or a custody agreement] |
1 m |
0 m |
d. Help cleaning up your record, including getting your record sealed, expunged, or receiving a pardon |
1 m |
0 m |
if D6any = 1 |
D6a. Did you receive legal-related services…
INSTRUCTION: READ RESPONSE OPTIONS.
NEW
Select one only
m Pre-release only 1
m Post-release only 2
m Both pre-release and post-release 3
NO RESPONSE M
Other services
all |
D7. Since [ENROLL DATE] have you participated in peer-support or mentoring?
PROBE: Supporters or mentors provide knowledge and experience, as well as emotional, social, or practical help.
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
m Yes 1
m No 2
NO RESPONSE………………………………………………………………………M
E. Program Experience [PROGRAM GROUP ONLY]
IF PROGRAM GROUP = YES |
E0. The next series of questions are about your experiences with the [PH PROGRAM NAME] program.
CONTINUE 1
IF PROGRAM GROUP = YES |
E1. Which of the following best describes your current status at the [PH PROGRAM NAME] program?
INSTRUCTION: READ RESPONSE OPTIONS.
EGYO
YB
D3
m Currently enrolled in the [PH PROGRAM NAME] program and have not yet graduated or completed the program 1
m Graduated from or completed the [PH PROGRAM NAME] program 2
m Stopped participating in the [PH PROGRAM NAME] program before graduating or completing the program 3
m Never participated in [PH PROGRAM NAME] program services 4
NO RESPONSE………………………………………………………………………M
IF e1 = 1 |
E2. Are you currently receiving post-release services from [PH PROGRAM NAME] program?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
NEW
m Yes 1
m No 2
NO RESPONSE M
IF e1 = 2 OR 3 |
E3. Did you ever receive post-release services from [PH PROGRAM NAME] program?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
NEW
m Yes 1
m No 2
NO RESPONSE M
if E1 = 3 OR 4 |
fill [stop participating/not enroll] from D1 if E1 = 3 : [stop participating] if E1 = 4 : [Not enroll] |
RP
B3
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select all that apply
o Unreliable transportation 1
o The program did not fit in with your schedule 2
o Got a job 3
o Moved 4
o Had to care for a family member. 5
o Had health problems or an injury. 6
o Did not like the program 7
o Did not get along with program staff 8
o Did not like or get along with other participants 9
o Were asked to leave 10
o The program did not offer training for the job you wanted. 11
o The program did not meet your needs. 12
o Were incarcerated. 13
o Some other reason (please specify). 14
(STRING 255)
NO RESPONSE M
if e1 = 1, 2, or 3 |
E5intro. The next series of questions will ask about your experiences with case management. By case management we mean having someone, such as a social worker, who meets with you to assess your needs, helps connect you to services based on your needs, and meets with you regularly to see how you’re doing.
CONTINUE 1
if e1 = 1, 2, or 3 |
NEW
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select one only
m Yes 1
m No 2
NO RESPONSE M
if e5 = 1 |
E5a. Did any of your pre-release case management occur in person?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
NEW
m Yes 1
m No 2
NO RESPONSE M
if e5 = 1 |
NEW
[PHONE VERSION: Would you say it was….]
INSTRUCTION: READ RESPONSE OPTIONS.
Select one only
m Excellent 1
m Very Good 2
m Good 3
m Fair[, or] 4
m Poor 5
NO RESPONSE M
if e1 = 1, 2, or 3 |
if e2 = 1, Fill: [have you received] if e3 = 1, fill: [did you receive] |
NEW
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select one only
m Yes 1
m No 2
NO RESPONSE M
if E7 = 1 |
IF E2 = 1, fill: [have you interacted with] if e3 = 1, Fill: [did you interact with] |
NEW
[PHONE VERSION: Would you say …]
INSTRUCTION: READ RESPONSE OPTIONS.
Select one only
m 1 or 2 times 1
m 3 to 5 times[,or] 2
m 6 or more times 3
NO RESPONSE M
if e7 = 1 |
if E2 = 1, fill: [has] and [occurred] if E3 = 1, fill: [did] and [occur] |
NEW
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select one only
m Yes 1
m No 2
NO RESPONSE M
if e5 = 1 and e7 = 1 |
if e2 = 1, fill: [is] IF e3 = 1, fill: [was] |
NEW
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select one only
m Yes, same person as pre-release 1
m No, different person than pre-release 2
m Same person at first, but then was changed to different person 3
NO RESPONSE M
if e7 = 1 |
E11. How would you rate your overall post-release case management?
[PHONE VERSION: Would you say…
NEW
Select one only
m Excellent 1
m Very Good 2
m Good 3
m Fair[, or] 4
m Poor 5
F. HEALTH AND WELL-BEING
ALL |
F0. The next series of questions are about your health and well-being.
CONTINUE 1
ALL |
YB I1 mod
F1. In general would you say your physical health is…
INSTRUCTION: READ RESPONSE OPTIONS.
Select one only
m Excellent 1
m Very Good 2
m Good 3
m Fair[, or] 4
m Poor 5
NO RESPONSE M
ALL |
YB I1 mod
F2. In general would you say your mental health is…
INSTRUCTION: READ RESPONSE OPTIONS.
Select one only
m Excellent 1
m Very Good 2
m Good 3
m Fair[, or] 4
m Poor 5
NO RESPONSE M
ALL |
F3. Since [RELEASE DATE], has there been a time when you needed to go to a doctor, the dentist, or the hospital but couldn’t because you didn’t have money or medical insurance?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
RExO J1 mod
Select one only
m Yes 1
m No 2
NO RESPONSE M
ALL |
F4. Since [RELEASE DATE], has there been a time when you wanted mental health counseling but couldn’t get it because you didn’t have money or couldn’t find a provider?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
RExO J1 mod
Select one only
m Yes 1
m No 2
NO RESPONSE M
ALL |
F5. Since [RELEASE DATE], has there been a time when you wanted substance use treatment but couldn’t get it because you didn’t have money or couldn’t find a provider?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
RExO J1 mod
Select one only
m Yes 1
m No 2
NO RESPONSE M
ALL |
F6. Does your physical health ever limit your ability to work?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
PHE BIFE9 mod
Select one only
m Yes 1
m No 2
NO RESPONSE M
ALL |
F7. Does your mental health ever limit your ability to work?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
PHE BIFE9 mod
Select one only
m Yes 1
m No 2
NO RESPONSE M
ALL |
YB I10 mod
F8. Since [RELEASE DATE], how often has alcohol or drug use interfered with your responsibilities, either at work or elsewhere?
[PHONE VERSION: Would you say…
INSTRUCTION: READ RESPONSE OPTIONS.
Select one only
m Never 1
m 1 time[, or] 2
m More than 1 time 3
NO RESPONSE M
if f8 = 2 or 3 |
F9. Since [RELEASE DATE], did you spend any time in a treatment program for substance abuse?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
RExO J8a
Select one only
m Yes 1
m No 2
NO RESPONSE M
ALL |
F10. Are you currently covered by health insurance? This could include coverage from your or someone else’s employer, coverage purchased directly from a private insurance company, and Medicaid or any other government program that pays for medical care.
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
WW 55.21 mod
Select one only
m Yes 1
m No 2
NO RESPONSE M
ALL |
YB G3mod
F11. Do you agree or disagree with the following statements about your current relationships with family and friends?
[PHONE VERSION: [READ STATEMENT], Do you strongly agree, agree, disagree, or strongly disagree with that statement.]
INSTRUCTION: READ RESPONSE OPTIONS.
Select one per row
|
Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
a. There are people I know who will help me if I really need it |
1 m |
2 m |
3 m |
4 m |
b. I have a trustworthy person to turn to if I have problems |
1 m |
2 m |
3 m |
4 m |
G. CRIMINAL JUSTICE INVOLVEMENT
ALL |
NEW
As a reminder, the answers you give us will not be matched to your name or other identifying characteristics in any reports. No one at your home, place of work, or programs you’ve participated in will see your answers.
CONTINUE 1
ALL |
G1. Since [RELEASE DATE], how many times have you been arrested or taken into custody for any reason?
RP
F1
NUMBER OF ARRESTS
(RANGE 1–99)
m None 99
NO RESPONSE M
IF g1 ≠ N |
Include [first] IF g1 > 1 |
G2. Since [RELEASE DATE], in what month and year were you [first] arrested?
RP
F2
| | | / | | | | |
MONTH YEAR
Range: [01–12] / [2020–2024]
NO RESPONSE M
All |
G3a. Since [RELEASE DATE], how many times have you violated probation or parole?
RP
F1 mod
NUMBER OF CONVICTIONS
(RANGE 0–99)
m None 99
NO RESPONSE M
All |
G3b. Since [RELEASE DATE], how many times have you been convicted or pleaded guilty to a crime or illegal offense?
RP
F1 mod
NUMBER OF CONVICTIONS
(RANGE 0–99)
m None 99
NO RESPONSE M
ALL |
G4. Since [RELEASE DATE], have you been sentenced to spend time in a prison, jail, or other correctional facility?
YB
F7 mod
[PHONE VERSION: IF YES, PROBE: Were you sentenced to time in jail prison, or to another type of correctional facility?]
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select all that apply
o Sentenced to time in jail 1
o Sentenced to time in prison 2
o Sentenced to another type of correctional facility 3
o Another type of sentence (such as community service, house arrest, etc.) 4
m None of the above 0
NO RESPONSE M
IF G4 ≠ 0 |
RP
F7
INSTRUCTION: READ RESPONSE OPTIONS.
Select all that apply
o A crime committed before [RELEASE DATE]? 1
o A crime committed after [RELEASE DATE]? [Or,] 2
o A probation or parole violation? 3
o Some other reason (please specify). 4
(STRING 255)
NO RESPONSE M
IF G4 ≠ 0 |
RP
F8
| | | |
Range: [01–999]
NO RESPONSE M
G4b_unit.
Days 1
Weeks 2
Months 3
Years 4
ALL |
NG
FUP D7a
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select one only
m Yes 1
m No 0
NO RESPONSE M
ALL |
RP
F9
| | | | MONTHS
Range: [01–999]
m I did not spend any time on parole/probation since [RELEASE DATE] 0
m I have been on parole/probation the whole time 99
NO RESPONSE M
RP
F10
IF G6 ≠ 0 |
G6a. Are you currently on probation or parole?
INSTRUCTION: DO NOT READ RESPONSE OPTIONS.
Select one only
m Yes 1
m No 0
NO RESPONSE M
all |
G7. Thank you for completing our survey! As a thank you, we’d like to send you a $40 gift card. Would you prefer a Visa gift card mailed to you, or an Amazon ecode delivered by email?
Select one only
m Visa gift card sent by mail 1
m Amazon ecode sent by email 2
NO RESPONSE M
IF g7 = 1 |
MailAddress. Please provide your mailing address.
INSTRUCTION: CONFIRM ADDRESS WITH RESPONDENT BEFORE CONTINUING.
(STRING (60))
Street Address Line 1
(STRING (60))
Street Address Line 2
(STRING (10))
ZIP Code
(STRING (20))
City
(STRING (2))
State
IF g7 = 2 |
EmailAddress. Please provide your email address.
INSTRUCTION: CONFIRM EMAIL ADDRESS WITH RESPONDENT BEFORE CONTINUING.
(STRING (50)
ALL |
G8. (FINAL) Thank you! Your survey has been submitted.
Mathematica®
Inc.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Mathematica Report |
| Subject | report |
| Author | Eliza Abendroth |
| File Modified | 0000-00-00 |
| File Created | 2023-12-13 |
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