[texastanya]

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_X__

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___ 5_X__

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__X__

Addition of new members through procreation or adoption____

Socialization of children__X__

Social control of members__X__

Production, consumption, and distribution of goods and services____

Affective nurturance- love__XX__

Other______________________________

Mom of boys and dogs:
1 – B (husband - he’s the biggest boy)
2 – D aged 3.5, placed 3/22/05, TPR'd 2/1/06, waiting to adopt
3 – T aged 20 months, placed 3/22/05, TPR'd 2/1/06, waiting to adopt
4 – M aged 20 months, placed 8/20/05
Dogs: Jack (rottweiler), Alvin (beagle), and Murray (beiner)