1. Please select the best answer for each question.

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* 1. Name (optional):

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* 2. Type of caregiver:

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* 3. Please share your City/Town:

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* 4. Does the Child Advocate provide you the opportunity to offer feedback/opinions regarding the child(ren) placed in your home?

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* 5. Does your Child Advocate provide you with updated information regarding changes in the case of the child(ren) placed in your home (e.g. changes in placement, court hearings, meetings, pending home studies, & visitation schedules, etc.)?

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* 6. Do you have the Child's Resource Record (CRR) ) file which includes: medical records, educational reports, etc.?

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* 7. Does ChildNet provide you with up-to-date information to be placed in the Child’s Resource Record (CRR) such as medical records, educational reports, etc.?

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* 8. Do you understand what you are required to do in the case of the child(ren) placed in your home?

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* 9. Do the provided services help you with the child(ren) placed in your home?

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* 10. Were you satisfied with how quickly you received services?

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* 11. Does someone in your household transports child(ren) placed in your home to needed medical, dental, developmental, and mental health services?

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* 12. Are you invited to team staffing/meetings hosted by ChildNet staff serving the child(ren) in your home?

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* 13. Does your Child Advocate invite you to court hearings and other staffing and meetings for the child(ren) in your care?

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* 14. What is your overall level of satisfaction with the work performed by ChildNet regarding the child(ren) placed in your home?

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* 15. What do you like most about your Child Advocate?

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* 16. What would you like your Child Advocate to do or not to do?

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* 17. How did you take this survey?

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