Arrest Risk Assessment Form
Complete this assessment to help evaluate key factors related to arrest risk. Please answer each question as accurately as possible.
Age Group
*
Please Select
Under 18
18–24
25–34
35–44
45–54
55 or older
Gender
*
Male
Female
Non-binary
Prefer not to say
Have you ever been arrested before?
*
Yes
No
How many times have you been arrested in the past 3 years?
*
Please Select
0
1
2
3 or more
Current Employment Status
*
Employed full-time
Employed part-time
Unemployed
Student
Other
How stable is your current housing situation?
*
Very unstable
1
2
3
4
Very stable
5
1 is Very unstable, 5 is Very stable
How likely are you to appear for your next scheduled court date?
*
Very unlikely
1
2
3
4
Very likely
5
1 is Very unlikely, 5 is Very likely
Do you have any current or past issues with substance use?
*
Yes, current
Yes, past
No
Community Support (select all that apply):
*
Family support
Friend support
Community organization
No support
Other
Please rate your overall risk for re-arrest in the next year.
*
1
2
3
4
5
Submit Assessment
Should be Empty: