NOTE: This survey should be filled out by each parent individually.
Please select an Agency * (Required)
Family Race
Marital Status
Age
Gender
How many agencies have you had contact with?
What type of information were you seeking?
Adoption
Foster Care
Foster-to-adopt
Kinship
Guardianship
Step-Parent Adoption
Training Opportunities
Orientation
General Information
Did this agency work with you in a prompt, courteous and professional manner?
Was the information you received thorough and complete?
Were you satisfied with the services the agency provided to you?
Were there barriers to your ability to become a foster or adoptive parent?
Lack of response from the agency
Fees associated with agency services too expensive
Unable to get foster care license or Family Assessment complete in a timely manner (i.e., less than six months)
No barriers
No Answer
Other Barriers
Where are you in the adoption / foster care process?
Please tell us about the child or children you want to foster and/or adopt:
Infant Adoption
International Adoption
Special Needs Adoption
Foster Care
No Answer
Age
Any Age
Younger than 6 years
6 - 10 years
11 - 13 years
14 or older
No Answer
Child Race
Any Race
Black-African-American
White/Caucasian
Native American/American Indian
Hispanic/Latino/Latina
Asian American/Pacific Islander
Chaldean/Arab-American
Other
No Answer
Child Functioning Levels
Any Impairments
Having Emotional/Behavioral Issues
Having Physical Impairments
Having Developmental Delays
Having Learning Impairments
No Answer
Child Grouping