Foster Parent Exit Interview Survey

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1. Foster Parent:

Name: *

Address:

Address 2:

City/Town:

State:

ZIP/Postal Code:

Email Address:

Phone Number:

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2. County of Service

	County	Region
County and Region	County and Region County menu	County and Region Region menu

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3. Exit Information:

Date of Exit:

Date

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4. How many years were you a foster parent?


Length of Service	Length of Service menu

Other (please specify)

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5. What was your motivation to begin fostering? Check as many as apply

Wanted to Give Back or Make a Difference

Former Fostering Experience

Own Children Were Grown

Wanted Sibling for Own Child

Extra Income

Infertility Issues

Spiritual or Religious Calling

Interested in Adopting

Other (please specify)

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6. What was your main reason for deciding not to continue to foster?

Adoption

Moved out of County

End of Relative Placement

Health

Transfered to Another Agency

Change in family circumstances

Health

Child turned 18 and left home

Burn Out

Involuntary closure

Other (specify below)

Other (please specify)

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7. Tell us about your experience as a Foster Parent:

	Yes	No
Did you feel confident in your ability to meet the needs of the child(ren) placed in your care?	Did you feel confident in your ability to meet the needs of the child(ren) placed in your care? Yes	Did you feel confident in your ability to meet the needs of the child(ren) placed in your care? No
Did you feel that your family was well matched with the child(ren) placed in your care?	Did you feel that your family was well matched with the child(ren) placed in your care? Yes	Did you feel that your family was well matched with the child(ren) placed in your care? No
Do you feel that you were offered support services to help you meet the needs of the child(ren) placed in your care?	Do you feel that you were offered support services to help you meet the needs of the child(ren) placed in your care? Yes	Do you feel that you were offered support services to help you meet the needs of the child(ren) placed in your care? No
Do you feel that you were offered training which could help you meet the needs of the child(ren) placed in your care?	Do you feel that you were offered training which could help you meet the needs of the child(ren) placed in your care? Yes	Do you feel that you were offered training which could help you meet the needs of the child(ren) placed in your care? No
In general, were your phone calls to DFCS responded to in a timely manner?	In general, were your phone calls to DFCS responded to in a timely manner? Yes	In general, were your phone calls to DFCS responded to in a timely manner? No
Do you feel that you were consistently informed about case decisions and other issues affecting the child(ren) placed in your care?	Do you feel that you were consistently informed about case decisions and other issues affecting the child(ren) placed in your care? Yes	Do you feel that you were consistently informed about case decisions and other issues affecting the child(ren) placed in your care? No

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8. How would you describe your relationship with the following persons:

	Strongly Favorable	Favorable	Unfavorable	Extremely Unfavorable	Non-existent
Resource Development Worker	Resource Development Worker Strongly Favorable	Resource Development Worker Favorable	Resource Development Worker Unfavorable	Resource Development Worker Extremely Unfavorable	Resource Development Worker Non-existent
Placement Case Workers	Placement Case Workers Strongly Favorable	Placement Case Workers Favorable	Placement Case Workers Unfavorable	Placement Case Workers Extremely Unfavorable	Placement Case Workers Non-existent
Service Providers (CCFA, Wraparound, etc)	Service Providers (CCFA, Wraparound, etc) Strongly Favorable	Service Providers (CCFA, Wraparound, etc) Favorable	Service Providers (CCFA, Wraparound, etc) Unfavorable	Service Providers (CCFA, Wraparound, etc) Extremely Unfavorable	Service Providers (CCFA, Wraparound, etc) Non-existent
Birth Families	Birth Families Strongly Favorable	Birth Families Favorable	Birth Families Unfavorable	Birth Families Extremely Unfavorable	Birth Families Non-existent
Local Foster Parent Association	Local Foster Parent Association Strongly Favorable	Local Foster Parent Association Favorable	Local Foster Parent Association Unfavorable	Local Foster Parent Association Extremely Unfavorable	Local Foster Parent Association Non-existent
Other	Other Strongly Favorable	Other Favorable	Other Unfavorable	Other Extremely Unfavorable	Other Non-existent

Other (please specify)

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9. What support services do you feel you needed, that were not offered?

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10. What (if anything) could have been done to change your mind about closing your home?

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11. Additional Comments:

Thank you for completing this survey. If you have further thoughts that you would like to share, please contact Claudine Smith at Claudine.Smith@dhs.ga.gov