PEP Transition House Survey | Prison Entrepreneurship Program

A_Transition House Survey

"*" indicates required fields

First Name*

Last Name*

Email Address*

House Location*

Which transition house do you live at?

Move In Date*

Month

Day

Year

Estimated Move Out Date*

Month

Date

Year

Previous Balance*

Weekly Fee*

Total Discount*

Amount You Paid*

Paid With*

Cash

Cash App

Zelle

Paypal

Select all that applies to you

House Manager

Going to School Full Time

House Meeting

No Balance Owed

Chore

Hours Worked Last Week*

If you're unemployed, put "UE" and job search hours

How would you rate the living condition at this transitional house on a scale 1 to 5?*

Please enter a number from 1 to 5.

(1 is Terrible, 5 is Wonderful)

How close are you to meeting your main goals on a scale 1 to 5?*

Please enter a number from 1 to 5.

(1 is No Progress, 5 is I'm There)

Comments and/or Prayer Requests

Today's Date