1 · Program structure
Who runs the program, where it operates, who it serves, and how it is funded and governed.
Are there other partner organizations involved in delivering or supporting the program? If yes, please list them.
For example, health authorities, community organizations, municipal governments.
In which province or territory is your program located? *
Check all that apply.
How would you describe the geographic setting where your program operates?
Select… Urban Rural Mixed (urban and rural) Remote
What stage best describes your program right now?
Select… Pilot or early implementation Established and ongoing Expanding to new sites or populations Winding down or transitioning
How is your program funded? Please describe your funding sources and any contracting arrangements.
For example: government grants, health-authority funding, philanthropic donations, fee-for-service.
Who is your program designed to serve? Are there specific populations or groups you focus on?
Select all that apply.
What are the main goals or objectives of your program?
For example: reducing social isolation, improving well-being, connecting people to community resources, reducing healthcare use.
Approximately how many participants are actively engaged at any given time?
Is your program integrated with the health system in any way? If yes, please describe.
For example: access to electronic medical records (EMRs), referrals from or to clinical services, co-location with healthcare providers.
Does your program have any formal data-sharing agreements with other organizations? If yes, please briefly describe.
For example, with health authorities or community partners.
2 · Connector workforce
The people who carry out the connector role: their titles, employment, workload, supervision, and what their role involves. "Connector" is a general term; your program may use a different title.
Where are your connectors primarily based or employed?
Select… Healthcare setting (e.g., primary care clinic, hospital) Community setting (e.g., community centre, non-profit) Mixed (some in healthcare, some in community settings) Other
How many paid connector staff does your program currently have?
Does your program involve volunteers in the connector role or in supporting it? If yes, what do volunteers do?
How would you describe the typical intensity of service your connectors provide?
Select… Light touch (one or two brief contacts) Moderate (several contacts over a few weeks) Intensive (regular ongoing contacts over months) Variable (depends on the participant)
How are connectors supervised and supported, and who provides their oversight?
For example: clinical supervision, peer support, regular check-ins with a manager.
How is the caseload for connectors managed?
Is there a maximum number of participants per connector at a time? Is the complexity of participant needs factored in?
Does your program have a process for managing risk or escalating concerns about participants? If yes, please describe.
For example: protocols for mental health crises, safeguarding procedures, referral to clinical services.
What are the boundaries of the connector role? What do connectors do, and what do they not do?
Do connectors provide direct services, or focus on navigation and linking? Are there tasks they are specifically not expected to perform?
Does your program currently measure outcomes for participants? If yes, what tools or measures do you use?
For example: ONS-4 well-being questions, UCLA Loneliness Scale, EQ-5D, locally developed tools.
What operational data does your program routinely track?
For example: number of referrals, number of contacts, types of connections made, wait times, participant demographics.
3 · Referral pathways, entry & eligibility
How participants find and enter your program, who is eligible, and any barriers to access.
Where do most of your referrals come from?
Select all that apply.
How are referrals typically received?
Select all that apply.
What is the consent process for referrals and information sharing? How is participant consent obtained?
For example: written consent form, verbal consent, implied consent through referral.
Are there specific eligibility criteria for your program? If yes, what are they?
For example: geographic restrictions, age requirements, specific health or social needs. If your program is open to anyone, please indicate that.
Once a referral is received, how do you assess or triage participants to determine their needs and level of support?
What are the typical wait times or time intervals at each stage?
For example, from referral to first contact, and from first contact to a connection being made. Estimates are fine.
Does your program offer specific supports to help people from equity-deserving groups access the program? If yes, describe.
For example: services in multiple languages, culturally specific programming, transportation support, outreach.
Are you aware of any barriers that make it harder for certain populations to access your program? If yes, describe.
For example: language barriers, transportation, lack of awareness, stigma, digital access.
4 · Working with participants & making connections
The day-to-day work of connectors with participants, and how connections to community resources are made.
How does a connector typically first meet with a new participant?
Select all that apply.
How often do connectors typically meet with a participant, and how long does each contact usually last?
For example: weekly 30-minute phone calls, biweekly in-person meetings of about an hour.
Do connectors develop a care plan or action plan with participants? If yes, briefly describe the process.
Does your program use any specific approaches to support behaviour change or participant engagement?
For example: motivational interviewing, health coaching, goal-setting frameworks, strengths-based approaches.
How do connectors typically link participants to community resources or services?
Select all that apply.
What types of needs or areas of life do connectors most commonly help participants with?
Select all that apply.
Are there gaps in the community resources available to your participants? If yes, what is most lacking?
For example: mental health services, affordable recreation, culturally specific programming, services for rural or remote participants.
Does your program track whether a participant actually connected with a community resource after being referred?
Select… Yes, we routinely track this Sometimes, but not consistently No, we do not currently track this
5 · Follow-up, exit & your public profile
What happens after a participant is connected to resources, how they exit, and how you communicate with referrers.
After a participant has been connected to a community resource, does your program follow up with them?
Select… Yes, we routinely follow up Sometimes, but not consistently No, we do not typically follow up
If your program does follow up, how is follow-up typically conducted and how often?
For example: a phone call after two weeks, check-ins at one and three months, ongoing monthly contact.
How does a participant's involvement typically come to an end? What criteria or processes determine when someone exits?
For example: the participant's goals are met, a set time period has passed, the participant disengages.
Can participants return to the program after they have exited?
Select… Yes, participants can re-engage at any time Yes, but only under certain conditions No, participants cannot return after exit
Does your program communicate back to the person or organization that made the referral about what happened? If yes, how and when?
For example: a written summary after initial contact, ongoing updates, a discharge report at exit.
Public profile
This information appears on your public site page once your registration is approved.
Short public description of your program
A sentence or two for the public map and your site profile.
Program website
Public contact email