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            "text": "6a. Has/have the child/children involved with this custody case been the subject of an indicated or founded report of child abuse? YES NO",
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            "text": "6b. Has a party or a member of a party's household been identified as the perpetrator in an indicated or founded report of child abuse? YES NO",
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            "text": "6c. If you answered YES to question 6a and/or 6b, please complete the following:",
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            "text": "Date(s) of incidents of child abuse: ___",
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            "text": "Circumstances of child abuse incident(s):",
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            "text": "County and state where child abuse investigation took place: _____",
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            "text": "7a. Has a party or a member of a party's household been provided services by children & youth services, child protective services, or general protective services? YES NO",
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            "text": "7b. If you answered YES to question 7a, please complete the following:"
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            "text": "The circumstances surrounding the provision of services:"
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