You’ve been through something no one should ever have to experience — and your perspective matters. This survey is for survivors who have NOT attended a residential program. (if you have attended a residential program, please complete this survey instead)

Your answers will help inform a program and living space that best meets the needs of survivors.

If you want to enter the draw for one of three $50.00 Amazon cards and one $50.00 Netflix card, you can leave your name and email at the end of the survey.
Section 1

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1. Did you want to attend a residential recovery program? (Required.)

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2. What prevented you from attending a residential program? Select as many as apply to. you. (Required.)

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3. What would be most important to you in a residential program?

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4. The first weeks in a program are time for rest and recovery but what comes next? Take a look at the statements below and using the up and down arrows, place them in order of what you think is important to learn while in a recovery program.

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5. In your opinion what are the most important things a recovery program should offer survivors in the first few days or week.

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6. If someone asked you how to build the best residential recovery program for survivors, what would you say? What must it include?

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7. If you were to attend a residential recovery program, what would help you feel a sense of trust, belonging, or community?

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8. What kind of training do you think staff or program leaders need to have in order to best support survivors?

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9. What kind of support do survivors still need after they leave a program — and how could a program help prepare people for that?

Section 2: For Those Creating Change

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10. If you could speak directly to people designing or funding residential recovery programs in Canada, what would you tell them?

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11. Is there anything else you want to share that could help improve support for survivors?

Section 3: About You
These questions help us understand if certain experiences or identities are being underserved or overlooked in programs. You can skip any you don’t want to answer.

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12. Age Range

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13. Gender Identity

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14. Do you identify as any of the following?

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15. Have you experienced homelessness or unstable housing?

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16. Would you like to participate in a focus group to provide more insight? If yes, please provide your name and email below.

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17. Would you be interested in being part of a committee to develop a residential program"

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18. Please add your name and address if you would like to enter the draw for a gift card.

Thank you for participating in this important survey.
**please note that residential services for youth 12-15 yrs requires additional measures and considerations

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