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DA-OAS Assessment · MARAC · Version 3 · Last edited Aug 10, 2026
Published
14 fields · 9 required · 3 sections
·
Program: MARAC · Owner: A. Davis
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v3 (current)
Section 1 — Client Safety
1
Text
Full Name
✱ Required
2
Date
Date of Assessment
✱ Required
3
Select
Living Situation
Optional
4
Scale
Current Safety Score (1 = Not safe · 10 = Very safe)
✱ Required
5
Yes/No
Active restraining / protection order?
✱ Required
Section 2 — Risk Factors
6
Text area
Describe recent incidents or threats
Optional
7
Number
# of incidents in last 6 months
✱ Required
8
Yes/No
Weapon involved in any incident?
✱ Required
Section 3 — Children & Dependants
9
Yes/No
Children living with client?
✱ Required
10
Number
Number of children under 18
Optional
If Yes
11
Text area
Additional notes
Optional
Field Settings
Field 4 of 11
Scale Configuration
Conditional Logic
Show or hide this field based on another field's value.