Shomrei Torah Foster and Adoption Interest Survey

We would like to learn more about the interest in and relationship with foster and adoption of our community members. Thank you for taking this brief survey to help us learn!

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* 1. Are you:

An adoptive parent

A foster parent

A biological parent

Someone who has placed a child for adoption

An adoptee

An adult who was ever in foster care

An adoption/foster care professional

Someone who has or would consider adoption

A mentor to a child in the foster system

Interested in helping with the temple effort to promote fostering/adoption

Other (grandparent, aunt, uncle, cousin, friend, etc. Please specify)

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* 2. Have you considered, but not yet done:

Providing foster care (with or without the intention to adopt)

Adopting from the foster care system

Domestic infant adoption

International adoption

Mentoring a child in the foster system

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* 3. If you have considered adoption, to what extent would you say that the following items are/were barriers to your pursuing adoption?

	Not at all a barrier	Somewhat a barrier	Prohibitive	N/A
Concern about the financial cost of adoption process	Concern about the financial cost of adoption process Not at all a barrier	Concern about the financial cost of adoption process Somewhat a barrier	Concern about the financial cost of adoption process Prohibitive	Concern about the financial cost of adoption process N/A
Overwhelmed by the adoption process	Overwhelmed by the adoption process Not at all a barrier	Overwhelmed by the adoption process Somewhat a barrier	Overwhelmed by the adoption process Prohibitive	Overwhelmed by the adoption process N/A
Fear of discrimination in the adoption process (due to my age, marital status, sexual orientation, or other)	Fear of discrimination in the adoption process (due to my age, marital status, sexual orientation, or other) Not at all a barrier	Fear of discrimination in the adoption process (due to my age, marital status, sexual orientation, or other) Somewhat a barrier	Fear of discrimination in the adoption process (due to my age, marital status, sexual orientation, or other) Prohibitive	Fear of discrimination in the adoption process (due to my age, marital status, sexual orientation, or other) N/A
Lack of support from family	Lack of support from family Not at all a barrier	Lack of support from family Somewhat a barrier	Lack of support from family Prohibitive	Lack of support from family N/A
Lack of support from community	Lack of support from community Not at all a barrier	Lack of support from community Somewhat a barrier	Lack of support from community Prohibitive	Lack of support from community N/A
Fear of the unknown	Fear of the unknown Not at all a barrier	Fear of the unknown Somewhat a barrier	Fear of the unknown Prohibitive	Fear of the unknown N/A
Concern for children already in my home	Concern for children already in my home Not at all a barrier	Concern for children already in my home Somewhat a barrier	Concern for children already in my home Prohibitive	Concern for children already in my home N/A

Other (please specify)

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* 4. How much impact would each of the following resources have on your decision to move forward with fostering or adoption?

	No or very little impact	Some impact	A great deal of impact
Information about children waiting for adoption domestically and abroad	Information about children waiting for adoption domestically and abroad No or very little impact	Information about children waiting for adoption domestically and abroad Some impact	Information about children waiting for adoption domestically and abroad A great deal of impact
Education about parenting and child development	Education about parenting and child development No or very little impact	Education about parenting and child development Some impact	Education about parenting and child development A great deal of impact
Information about different adoption avenues (domestic and international)	Information about different adoption avenues (domestic and international) No or very little impact	Information about different adoption avenues (domestic and international) Some impact	Information about different adoption avenues (domestic and international) A great deal of impact
Meeting adoptive parents to learn from their experience	Meeting adoptive parents to learn from their experience No or very little impact	Meeting adoptive parents to learn from their experience Some impact	Meeting adoptive parents to learn from their experience A great deal of impact
A coach or guide for the adoption process	A coach or guide for the adoption process No or very little impact	A coach or guide for the adoption process Some impact	A coach or guide for the adoption process A great deal of impact
Being part of a cohort of people within my community seeking to adopt	Being part of a cohort of people within my community seeking to adopt No or very little impact	Being part of a cohort of people within my community seeking to adopt Some impact	Being part of a cohort of people within my community seeking to adopt A great deal of impact
Post-adoption resources (supportive community, access to therapies, counseling services, etc.)	Post-adoption resources (supportive community, access to therapies, counseling services, etc.) No or very little impact	Post-adoption resources (supportive community, access to therapies, counseling services, etc.) Some impact	Post-adoption resources (supportive community, access to therapies, counseling services, etc.) A great deal of impact
A community culture that proactively incorporates and reflects adoption	A community culture that proactively incorporates and reflects adoption No or very little impact	A community culture that proactively incorporates and reflects adoption Some impact	A community culture that proactively incorporates and reflects adoption A great deal of impact

Other (please specify)

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* 5. Do you feel supported by your synagogue in your role as:

	Not at all supported	Somewhat supported	Very supported	N/A
Adoptive parent	Adoptive parent Not at all supported	Adoptive parent Somewhat supported	Adoptive parent Very supported	Adoptive parent N/A
Foster parent	Foster parent Not at all supported	Foster parent Somewhat supported	Foster parent Very supported	Foster parent N/A
Someone with adoption in your extended family (grandparent, sibling, etc.)	Someone with adoption in your extended family (grandparent, sibling, etc.) Not at all supported	Someone with adoption in your extended family (grandparent, sibling, etc.) Somewhat supported	Someone with adoption in your extended family (grandparent, sibling, etc.) Very supported	Someone with adoption in your extended family (grandparent, sibling, etc.) N/A
Person considering adoption	Person considering adoption Not at all supported	Person considering adoption Somewhat supported	Person considering adoption Very supported	Person considering adoption N/A
Birth parent (who placed a child for adoption)	Birth parent (who placed a child for adoption) Not at all supported	Birth parent (who placed a child for adoption) Somewhat supported	Birth parent (who placed a child for adoption) Very supported	Birth parent (who placed a child for adoption) N/A

Other (please specify)

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* 6. Whether you are part of an adoptive family or not, would you like to see adoption positively reflected in the culture of our community (religious school, holiday celebrations, life cycle events, etc.) by: (Check all that apply)

Highlighting the adoption stories of our traditional characters (Moses, Ruth, Esther, and others)

Acknowledging how adoption concepts are organic to Jewish stories, ideas and values

Providing training to rabbis, teachers, and other leaders on integrating adoption and adoptive families into the community

Life Cycle resources

Other (please specify)

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* 7. How important is it that our community support families who have adopted or will adopt waiting children?

Very important

Somewhat important

Not at all important

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* 8. To what extent should our community proactively encourage and support one another to adopt children waiting for families by:

	Not at all	Somewhat	A great deal
Organizing a group interested in adoption to pursue it together in a supportive context	Organizing a group interested in adoption to pursue it together in a supportive context Not at all	Organizing a group interested in adoption to pursue it together in a supportive context Somewhat	Organizing a group interested in adoption to pursue it together in a supportive context A great deal
Providing a guide to work with a group throughout the adoption process	Providing a guide to work with a group throughout the adoption process Not at all	Providing a guide to work with a group throughout the adoption process Somewhat	Providing a guide to work with a group throughout the adoption process A great deal
Providing post- placement resources by enlisting volunteer professionals from within the community	Providing post- placement resources by enlisting volunteer professionals from within the community Not at all	Providing post- placement resources by enlisting volunteer professionals from within the community Somewhat	Providing post- placement resources by enlisting volunteer professionals from within the community A great deal
Subsidizing costs for outside professionals such as therapies, counseling, and other services	Subsidizing costs for outside professionals such as therapies, counseling, and other services Not at all	Subsidizing costs for outside professionals such as therapies, counseling, and other services Somewhat	Subsidizing costs for outside professionals such as therapies, counseling, and other services A great deal
Creating a culture within our community that reflects the adoption experience (i.e., adult and family education, religious school, life cycle observance, holiday celebrations, etc.)	Creating a culture within our community that reflects the adoption experience (i.e., adult and family education, religious school, life cycle observance, holiday celebrations, etc.) Not at all	Creating a culture within our community that reflects the adoption experience (i.e., adult and family education, religious school, life cycle observance, holiday celebrations, etc.) Somewhat	Creating a culture within our community that reflects the adoption experience (i.e., adult and family education, religious school, life cycle observance, holiday celebrations, etc.) A great deal

Other (please specify)

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* 9. If you are an adoptive parent (whether through the foster system, private adoption, or any other method), would you be interested in an adoptive parents group?

Shomrei Torah Foster and Adoption Interest Survey

Question Title

* 1. Are you:

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* 2. Have you considered, but not yet done:

Question Title

* 3. If you have considered adoption, to what extent would you say that the following items are/were barriers to your pursuing adoption?

Question Title

* 4. How much impact would each of the following resources have on your decision to move forward with fostering or adoption?

Question Title

* 5. Do you feel supported by your synagogue in your role as:

Question Title

* 6. Whether you are part of an adoptive family or not, would you like to see adoption positively reflected in the culture of our community (religious school, holiday celebrations, life cycle events, etc.) by: (Check all that apply)

Question Title

* 7. How important is it that our community support families who have adopted or will adopt waiting children?

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* 8. To what extent should our community proactively encourage and support one another to adopt children waiting for families by:

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* 9. If you are an adoptive parent (whether through the foster system, private adoption, or any other method), would you be interested in an adoptive parents group?

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* 10. Name

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* 11. Email

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* 12. Phone Number