1. What type of detainer do you have, if any?

  • I don't have a detainer
  • I have a low to low-moderate detainer
  • I have a detainer of moderate severity
  • I have a detainer of high severity
  • I have a detainer of greatest severity

2. Severity of current offense

  • The BOP will considers my offense lowest-severity
  • The BOP will considers my offense low- moderate severity
  • The BOP will considers my offense moderate
  • The BOP will considers my offense high
  • The BOP will considers my offense greatest

3. How many months do you expect before your scheduled release?

4. What will the BOP say your criminal history?

  • The BOP will say that I have 0 to 1 criminal convictions
  • The BOP will say that I have 2 to 3 criminal convictions
  • The BOP will say that I have 4 to 6 criminal convictions
  • The BOP will say that I have 7 to 9 criminal convictions
  • The BOP will say that I have 10 to 12 criminal convictions
  • The BOP will say that I have more than 13 criminal convictions

5. Do you have a history of escape attempts?

  • The BOP will say that I do not have a history of escape attempts
  • The BOP will say that I have 1 minor escape attempt more than 15 years ago.
  • The BOP will say that I have 1 minor escape attempt, but it happened between 10 and 15 years ago
  • The BOP will say that I have 1 minor escape attempt, but it happened between 5 and 10 years ago
  • The BOP will say that I have 1 minor escape attempt within the past five years
  • The BOP will say that I have 1 serious escape attempt more than 15 years ago.
  • The BOP will say that I have 1 serious escape attempt, but it happened between 10 and 15 years ago
  • The BOP will say that I have 1 serious escape attempt, but it happened attempt within the past five years

6. Do you have a history of violence?

  • The BOP will say that I do not have a history of violence
  • The BOP will say that I have 1 incident of minor violence more than 15 years ago.
  • The BOP will say that I have 1 incident of minor violence, but it happened between 10 and 15 years ago
  • The BOP will say that I have 1 incident of minor violence, but it happened between 5 and 10 years ago
  • The BOP will say that I have 1 incident of minor violence within the past five years
  • The BOP will say that I have 1 incident of a serious violence, but it happened more than 15 years ago.
  • The BOP will say that I have 1 incident of serious violence, but it happened between 10 and 15 years ago.
  • The BOP will say that I have 1 incident of serious violence, but it happened between 5 and 10 years ago
  • The BOP will say that I have 1 incident of serious violence, but it happened within the past five years.

7. The BOP will recognize that I voluntarily surrendered to prison

  • Yes
  • No

8. The BOP will know that I am

  • 55 or older
  • Between 36 and 54
  • Between 25 and 35
  • Not yet 24 years old

9. Educational level:

  • The BOP will say that I have a verified high school diploma or equivalency
  • The BOP will say that I'm making satisfactory progress in a GED program
  • The BOP will say that I do not have a high school diploma and I'm not participating in a program

10. The BOP will say that I have a history of alcohol or substance abuse within the past five years

  • Yes
  • No