Thank you for being part of the Atlantic Mentorship Network. As an early step in this process, we ask that you complete this intake survey which will be used to guide the mentorship program and determine mentees' and mentors' learning needs. It will also allow us to tailor the program offerings to the practice needs of mentees and mentors to better manage the complexities of caring for patients/clients with chronic non-cancer pain, mental illness, and substance use disorders in practice.

Your participation in this survey is voluntary and should take approximately 10 to 15 minutes. You may exit the survey at any time.  You may also skip questions that you prefer not to answer. Responses will be kept confidential and stored on encrypted and password protected drives. All analysis of the data will be done with de-identified and aggregated data to protect your privacy.  No data will be released that allows for identification of any single individual. Any publications or reports will only contain results of analysis with no identifying data being made available.

If you have any questions please contact Paula Hutchinson PhD, Horizons Community Development, paula@horizonscda.ca.

Please note: Our Network members represent multiple professions, providing various treatments and support. For this reason, some questions may not apply to every profession or practice. If a question does not apply to your profession or practice, please check the not applicable (NA) box.