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Adoption Survey
1. At what age were your child(ren) when adopted?
0-2 __XXX_____ 2-5 _______ 5-7 _______ 7+ _______
2. What race are you and your significant other? (If other please explain.)
White __XXX_____ African American ______ Indian _______ Asian _______
Hispanic _______ Other ______________________________
3. What race is the child(ren) you have adopted? (If other please explain.)
White _______ African American _______ Indian _______ Asian _______
Hispanic ________ Other 3/4 Caucasian, 1/4 African American_______________________________
4. How often did you or your child(ren) experience racism personally?
Daily _______ Weekly _______ Monthly _______ Yearly _______ Never __XXX_____
5. How difficult is it for your child(ren) to face these prejudice experiences?
Very Difficult _______ Difficult _______ Moderately Difficult _______ Easy _______
6. Do you teach you child(ren) the history of their culture and stress the importance of maintaining their culture?
Daily _______ Weekly _______ Monthly _______ Yearly _______ Never _______ he's only 8 months old so he doesn't understand this yet.
7. My Interracially adopted child(ren) have struggled with their cultural identity.
Strongly Agree _______ Agree _______ Disagree _______ Strongly Disagree _XXX______
8. Overall how do you feel your family has been effected by interracial adoption?
Positive __XX_ ___ ___ ___ ___ ___ Negative
9. If there are any other comments you would like to voice to help me in my research please do so here.
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International application submitted - 7/7/07
Homestudy started - 7/27/07
FBI fingerprints - 8/8/07
Pre-adoption seminar - 8/11/07
Homestudy completed - 10/5/07
I-797C received - 10/18/07
Dossier received by Kaz consulate - 12/24/07
Ended Kaz adoption - 2/11/07
Emailed domestic adoption referral agency about birthmother - 3/3/07
Chosen by birthmother- 3/13/07
Nathan James was born!!! - 3/29/08
Brought our son home from the hospital - 3/31/08
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