Paid In Full Homepage Testimony FAQ Photos References Survey Retroactive Person Forced to Register (PFR) Survey The information you provide will assist OSJ in creating a humanizing narrative about the people who are on the Registry, help identify areas of further inquiry, and confirm or refute assumptions about people who were retroactively forced to register. Such narratives are important for gaining legislative and public support and furthering the goal of eliminating the Registry. Your answers are confidential and will not be used against you in any way. Please answer to the best of your abilities and ask questions if you need help with the survey. First Name(optional) Last Name(optional) I am a Person Forced to Register (PFR):YesNo Did you:Go to trialTake a plea deal In regards to your plea deal (select all that apply):Plea deal was under the Alford DoctrineI plead up for a reduced sentenceI would not have taken a plea deal if I knew about the Registry Did you have a:Public DefenderPrivate Attorney Was your sexual offense related to substance abuse?YesNo If you were convicted of domestic violence offense(s), was it (select all that apply):None (I was not convicted of a domestic violence offense)Before conviction for sexual offenseBetween convictions for sexual offenses (if you sexually reoffended)Along with conviction for sexual offenseAfter conviction for sexual offense If you were convicted of offenses other than sexual offense(s) or domestic violence offense(s), was it (select all that apply):None (I was not convicted of an offense other than sexual offense(s) or domestic violence offense(s))Before conviction for sexual offenseBetween convictions for sexual offenses (if you sexually reoffended)Along with conviction for sexual offenseAfter conviction for sexual offense What level of education did you receive (select highest level achieved)?Some High SchoolGED / High School DiplomaSome CollegeAssociate's DegreeBachelor's DegreeAdvanced Graduate Degree (M.A., Ph.D., etc) Did you receive a professional license or certificate?YesNo What is your race?WhiteBlackAsian / Pacific IslanderNative AmericanOther Please Describe Are you Hispanic / Latinx?YesNo Are you a veteran?YesNo What is your relation to a PFR?Partner / SpouseChildSiblingParentUncle / AuntFriendOther Please Describe Do you have children?YesNo Before becoming a PFR, or before your friend or loved on became a PFR, did you experience (select all that apply):Child sexual abuseChildhood neglect or non-sexual abuse (physical or emotional)Household dysfunction (parental divorce, substance abuse, violence, mental illness, etc)Adult sexual abusePovertyOther traumatic event(s) Please Describe Are you a registered voter?YesNo When was the last year you voted? How has the registry affected your life as a PFR or as the friend or loved one of a PFR? The Registry has... ...negatively impacted my life.Select OneStrongly Agree (Frequent Occurrence)AgreeNeutralDisagreeStrongly Disagree (Did Not Occur) ...caused my homelessness or made it difficult to find suitable housing.Select OneStrongly Agree (Frequent Occurrence)AgreeNeutralDisagreeStrongly Disagree (Did Not Occur) ...caused my unemployment or made it difficult to find work.Select OneStrongly Agree (Frequent Occurrence)AgreeNeutralDisagreeStrongly Disagree (Did Not Occur) ...directly caused the loss of a job.Select OneStrongly Agree (Frequent Occurrence)AgreeNeutralDisagreeStrongly Disagree (Did Not Occur) ...made it difficult to support myself and/or family.Select OneStrongly Agree (Frequent Occurrence)AgreeNeutralDisagreeStrongly Disagree (Did Not Occur) ...made it difficult to treat a chronic health condition.Select OneStrongly Agree (Frequent Occurrence)AgreeNeutralDisagreeStrongly Disagree (Did Not Occur) ...caused me to lose family and/or community support.Select OneStrongly Agree (Frequent Occurrence)AgreeNeutralDisagreeStrongly Disagree (Did Not Occur) ...led to physical threats or altercations for myself and/or partner.Select OneStrongly Agree (Frequent Occurrence)AgreeNeutralDisagreeStrongly Disagree (Did Not Occur) ...led to property damage.Select OneStrongly Agree (Frequent Occurrence)AgreeNeutralDisagreeStrongly Disagree (Did Not Occur) ...caused emotional harm to myself and/or partner.Select OneStrongly Agree (Frequent Occurrence)AgreeNeutralDisagreeStrongly Disagree (Did Not Occur) ...led to bullying of myself and/or partner.Select OneStrongly Agree (Frequent Occurrence)AgreeNeutralDisagreeStrongly Disagree (Did Not Occur) ...led to physical/emotional harm for my children.Select OneStrongly Agree (Frequent Occurrence)AgreeNeutralDisagreeStrongly Disagree (Did Not Occur) Are you currently employed?YesNo How long have you worked at your current employer?Years Are you self-employed?YesNo How would you describe your work (select all that apply)?Low-WagePart-TimePhysically HazardousMenialCareer-OrientatedMeaningfulStable How would you describe your situation (select all that apply)?Forced retirement due to being unable to find workRetiredWelfare RecipientFamily-DependentOther Please Describe How has your life been negatively affected by the Registry that has not been covered in this survey?0 / 500 Describe the joy(s) in your life.0 / 500 How would your life change if you were no longer on the Registry?0 / 500 Submit Survey
