Thank you for your feedback!
Your feedback is very important to us!  Your feedback will assist us in making decisions about our services.  Your responses to the following questions is voluntary and will not impact any services you receive.  The results of the survey will be collected by CCR’s Quality Assurance team; individual responses will remain anonymous and confidential.  However, if you choose, you may leave your contact information so that we can speak with you in order to further discuss your feedback.

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* Today's date:

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* Are you a child/youth or parent/caregiver?

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* If no, please provide further details:

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