Thank you for using the CNIB TAPE Measure. This form provides you with an opportunity to share your experience using the CNIB TAPE Measure, list any publications in which the instrument is used or referenced, and provide us with any aggregate scores that we can share with the research and practice community.

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* 1. Please describe your experience using the CNIB TAPE Measure. Was it useful to you? If so, in what ways(s)? Do you have any suggestions on how to further improve the tool and develop a community of research and practice around its use?

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* 2. Please list any reports or published work that is based on your use of the CNIB Tape Measure. Please provide full references.

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* 3. If you have conducted research which has used the CNIB TAPE (either in its current or in an adapted form), we would appreciate if would share a copy of the research report along with any aggregated scores. The aggregate scores would, with your permission, be shared with the research and practice community and provide additional baseline scores with which client scores and sample scores (from research studies) can be compared. Reports can be sent to Alex.Shaw@CNIB.ca (cc to Deborah.Gold@CNIB.ca) and aggregate scores can be entered below and/or sent by email.

Please describe below any reports or aggregate scores you may able share.

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* 4. Please provide any additional feedback you would like to share regarding the CNIB TAPE Measure

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