To be filled out by the offender and safe guard

1. What are "risk factors". Why is it important to understand them?

a. Offender:

b. Safe guard:

2. Identify the offender's major risk factors.

a. Offender:

b. Safe guard:

3. What can be done to offset the influence of these risk factors?

a. Offender:

b. Safe guard:

Signature Offender: _________________________

Signature Safe guard:___________________________

Date: ________________