Exit Weekly Survey - SAC TO BE COMPLETED EACH WEEKEND (SAT/SUN) Question Title * 1. What is today's date? Today's Date Date Question Title * 2. Please provide your contact information? Name Address City/Town Email Address Phone Number Question Title * 3. Where do you work? Question Title * 4. How many hours did you work this week? Question Title * 5. How many hours of community service did your perform this week? Number of hours? Location? Question Title * 6. Upload your community service proof here. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Upload your community service proof here. Question Title * 7. Did you attend AA/NA meetings this week? Yes No N/A Question Title * 8. Do you have a sponsor? Yes No N/A If yes, who is your sponsor? Question Title * 9. What day/time do you attend MRT classes? Question Title * 10. Did you attend MRT class this week? Yes No SUBMIT