Thank you for taking the time to complete this survey. The information you provide is confidential and will be combined with all the surveys we are collecting and used to improve our services.

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* ADR Practitioner Name:

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* ADR-LINK File #:

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* Date referral received by Practitioner:

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* Date of first CAS meeting:

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* Family Name:

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* Date file completed:

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* Type of ADR meeting:

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* Did any of the ADR participants identify as Indigenous, First Nation, Métis, or Inuit?

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* Which Children's Aid Society (CAS) was involved?

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* Overall outcome of the referral:

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* Number of family members/friends present:

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* Number of CAS present:

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* Number of other service providers present:

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* Number of legal council present:

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* Everyone who needed to be there was present/able to participate in some way:

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* Key issues under discussion:

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* The most challenging aspects of this referral were:

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* The most positive aspects of this referral were:

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* In retrospect, what I would do differently is:

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* Do you have any comments on the ADR-Link referral process?

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