Free Book Adoption Survey

Please fill out ALL fields below. (This is how we'll contact you if you win a book! We will NOT share your personal information with anyone.) Should you win a book we'll post your first name, your state, the number of children you're adopting (or thinking of adopting), and whether it's a domestic or international adoption. If you're not OK with this information being shared, don't enter the contest. Due to shipping costs only people in the lower 48 states are eligible to win. Name:
Address:
City/Town:
State:
ZIP/Postal Code:
Email Address:

How many children are you planning to adopt this time around? 1

2

3

4+

Check all that apply: I’m adopting siblings.

I’m adopting internationally.

I’m pursuing a domestic adoption.

I’m adopting a special-needs child(ren).

I’m adopting child(ren) age(s) seven or above.

Check all that apply: I’ve applied to the appropriate agency and have been approved to adopt.

I’ve completed the home study.

I’ve completed ALL paperwork necessary for the adoption.

I’m currently waiting on a referral.

I’ve received information about the kids I’m adopting (i.e. I know who the kids are).

How many people will be living under your roof after the adoption is complete? 2

3

4

5

6

7

8

9

10+

Is this your first adoption? yes

no

*

Explain why you chose to adopt (or are thinking of adopting).

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