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QUESTIONNAIRE
(Please check the best answer)
Are you male___ female_x__
Marital Status: married__x_ single___
Age group: 20-29___ 30-39_x__ 40-49___ 50+___
Were you ever a foster child? yes___ no__x_
If yes, is this what caused you to consider becoming a foster parent yourself?
yes___ no___
Are you currently a foster parent? yes__x_ no___
If no, have you been a foster parent? yes___ no___
If no, have you decided to be a foster parent? yes___ no___
What kind of experience have you had with child care?
personal_x__ professional__x_ none___
Prior to thinking about foster parenting, did you consider adoption as a choice?
yes__x_ no___
OR
Has the foster parent system caused you to consider the option of adoption?
yes___ no___
How has (or do you think) the impact of being a foster parent been? (1-the worse experience; 5-the best experience)
1___ 2___ 3___ 4_x__ 5___
Did you experience a happy childhood? yes_x__ no___
Have your past childhood experiences influenced your choice of becoming a part of the foster parent community? yes_x__ no___
What is the confidence level of your own ability to nurture someone other than your own family? (1- no confidence; 5- very confident)
1___ 2___ 3___ 4___ 5___x
In the following list, check the functions that you think are most important regarding family.
Physical maintenance and care of group members____
Addition of new members through procreation or adoption____
Socialization of children____
Social control of members____
Production, consumption, and distribution of goods and services____
Affective nurturance- love_x___
Other______________________________
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