Exit Interview Request

Ok -- this is what gets you scheduled to take the Exit Interview -- in other words, if you don't fill this out, your Exit Interview will not happen -- this is what "triggers" the phone call -- so be sure you give us the best phone number for reaching you -- VERY IMPORTANT.

If you're not available when the call comes through, call or text the interviewer at the number they leave on your voice mail.  The interviewer will also send you a text or email to try and reach you if necessary.

Course Format You Completed

Online

Workbook

Both

Live Sessions w/ Steve

Your First & Last Name *

Your Best Phone Number *

Your E-mail Address: *

Your PTI or AEP Case Manager's Name *

Which Home Study Course Did You Take? *

AEP

AEP 21 and Over

Alcohol Related Offenses

Anger Management

DUI Reduced

Cognitive Awareness

Driver Responsibility

SC Gun Law

Marijuana 101/Simple Poss

Offender Cor/Res

Domestic Violence Reduced

Shoplifting

Substance Abuse (8 or 20)

Victim Awareness

Other

If the course you took was not listed, please write it here

Please describe the events that resulted in you enrolling in AEP or PTI. *

If you could go back in time and avoid all of this, what would you do differently? *

Describe how you have taken responsibility for the behavior that got you arrested. *

What are your thoughts about this entire situation? *

What have you learned from the consequences of your actions? *

Based on what you've experienced with all of this, what would your advice be to someone about to make the same mistake you made? *

Please describe how your "Thinking" has changed as a result of what you've learned from the home study course. *

Please describe how your "Thinking" has changed as a result of participating in AEP or PTI. *

Please describe, in detail, the chain of events that would take place in your life if you got another charge, and it could not be expunged - leaving you with a criminal record. Exactly how would something like that impact your life? *

Is there anything else you'd like to share?

I understand that I must complete the Exit Interview before I am officially "Complete". I understand that a representative of Good Success will contact me within 24 to 48 hours after I complete this form *

Exit Interview Acknowledgement *

Yes - I understand

No - I do not understand

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