Adoptive & Foster Family Survey

In order to better love, serve, and care for out Adoptive and Foster Families we ask that you complete this short survey.

Collecting this info will allow us to update our email and contact lists as well as help us plan future educational, equipping, support, and fellowship activities. Please know that we will guard all confidential info and only ask for the first names of Foster Children.

• First & Last Name
• Email
• Spouse's Name If applicable
• Preferred Phone Number Please specify whose phone number, for example: Jane, Work
• Alternate Phone Number
• How long have you been attending Brook Hills?
• Are you a member of Brook Hills? YesNoCurrently in IMPACT
• Which Worship Gathering do you normally attend? 9:00am10:35am
• Are your children on campus for multiple Worship Gatherings on Sunday?
• Are you part of Small Group? (None) YesNo
• Who is your Small Group leader?
• When does your Small Group meet?
• Are you serving on a ministry team? (None) YesNo
• When and where do you serve?

Children

• First Child's Name
• This is my...

  • Birth Child
  • Adopted Child
  • Foster Child
• Age
• Grade
• School Attending
• Active in BH Preschool, Children, or Student Activities?
• Add Another Child
• Second Child's Name
• This is my...

  • Birth Child
  • Adopted Child
  • Foster Child
• Age
• School Attending
• Active in BH Preschool, Children, or Student Activities?
• Add Another Child
• Third Child's Name
• This is my...

  • Birth Child
  • Adopted Child
  • Foster Child
• Age
• School Attending
• Active in BH Preschool, Children, or Student Activities?
• Add Another Child
• Fourth Child's Name
• This is my...

  • Birth Child
  • Adopted Child
  • Foster Child
• Age
• School Attending
• Active in BH Preschool, Children, or Student Activities?
• Add Another Child
• Fifth Child's Name
• This is my...

  • Birth Child
  • Adopted Child
  • Foster Child
• Age
• School Attending
• Active in BH Preschool, Children, or Student Activities?

Parents

• Are you an adoptive parent?

  • Yes
  • No
• Adoption Status

  • Just starting the process
  • In process (awaiting match and ready to travel)
  • Finalized
• Adoption Agency (Private, DHR, Lifeline, ANCH, APAC Heart Gallery, Other)
• When were your adoptions finalized?
• Did you adopt domestically or internationally?

  • Domestic
  • International
  • Both
• Are you part of an Adoptive Family Support Groups?

  • Yes
  • No
• If yes, which group(s)?
• Are you a foster parent?

  • Yes
  • No
• Are you currently licensed and accepting placements?

  • Yes
  • No
• Are you in the licensing process (GPS Class)?

  • Yes
  • No
• If yes, where?
• Who is your licensing agency?
• How long have you been a foster parent?
• Do you attend the BH Foster Family Support Group on the 1st & 3rd Wednesday nights?

  • Yes
  • No
• Would you like more information on this Family Support Group?

  • Yes
  • No
• Do you attend any other Foster Family Support Group?

  • Yes
  • No
• If yes, which groups? (Please include Facebook groups.)
• Which of the following would be of interest to you?

  • Educational Opportunities (Connected Child, Advocate for Foster Child, Special Needs, CEUs)
  • Fellowship Opportunities Including Children
  • Fellowship Opportunities Without Children
  • Mentoring by Experienced Foster Parents
  • Support Services (Meals, Help with Errands, Babysitting, Tutoring)

  Select All
• Other Suggestions?
• Are you currently receiving any of these services through other avenues?

  • Yes
  • No
• If yes, which ones?