Weekly Survey - Reentry 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. Question Title * 7. Who is your Mentor? Question Title * 8. Did you speak with your mentor this week? Yes No Question Title * 9. Did you attend AA/NA meetings this week? Yes No N/A Question Title * 10. Do you have a sponsor? Yes No N/A If yes, who is your sponsor? Question Title * 11. What time do you attend Group Classes? Question Title * 12. Did you attend Group Class this week? Yes No SUBMIT