Thank you for participating in Advokids' Caregiver Survey. This information is vital for child welfare reform. Your responses to this survey will be kept confidential. Please Note: If you are a current caregiver to multiple foster children, please fill out separate surveys for each child and identify each child by designating them "Child One, Two, Three or Four" in question #3. We thank you so much for the time and effort this survey requires. 


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* 1. Please enter your name and email so that we can contact you if we have additional questions. Your individual responses to this survey will be kept strictly confidential.

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* 2. I am a

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* 3. What is or was the county of jurisdiction for the child(ren)'s case?

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* 4. How long have you served as a caregiver for the child currently in your home?

  0-3 Months 3-6 Months 6-9 Months 9-12 Months 12-15 Months 15-18 Months 18-24 Months More than 24 months
Child One
Child Two
Child Three
Child Four

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* 5. How old is the child in your care?

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* 6. Did you receive written notice of the following juvenile court hearings 15 days prior to the following review hearing as required by law?

  Yes, 15 or more days before hearing Yes, less than 15 days before hearing No N/A
6 Month Review Hearing
12 Month Review Hearing
18 Month Review Hearing
24 Month Review Hearing

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* 7. With the notice of hearing, did you receive a copy of the Caregiver Information Form JV-290?

  Yes No N/A
6 Month Review Hearing
12 Month Review Hearing
18 Month Review Hearing
24 Month Review Hearing

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* 8. With the notice of hearing, did you receive a copy of the Instruction Sheet for Caregiver Information Form JV-290-INFO that explains how to complete and file the form?

  Yes No N/A
6 Month Review Hearing
12 Month Review Hearing
18 Month Review Hearing
24 Month Review Hearing

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* 9. With your notice of hearing, did you receive a written statement of the social worker's recommendations, including any recommended change in custody or status. (This is usually 1-2 sentences or a checked box.)

  Yes, 10 or more days before hearing Yes, less than 10 days before hearing No N/A
6 Month Review Hearing
12 Month Review Hearing
18 Month Review Hearing
24 Month Review Hearing

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* 10. Did you know that the child has an attorney who is appointed by the court?

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* 11. After the child was placed in your care, did the child's court-appointed attorney or their representative provide you with his/her contact information as required by California Rule of Court 5.660(d)(5)?

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* 12. Since the child has been placed in your care, to your knowledge, has the child's court-appointed attorney or their representative met with the child?

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* 13. If yes, approximately how many times?

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* 14. To your knowledge, did your child's attorney and/or their representative meet with the child at any time before the following hearings?

  Never Once More than once N/A
6 Month Review Hearing
12 Month Review Hearing
18 Month Review Hearing
24 Month Review Hearing

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* 15. To your knowledge, where did the visits with the child's court-appointed attorney or representative from their office take place?

  My Home School Day-care the Courthouse Other N/A
6 Month Review Hearing
12 Month Review Hearing
18 Month Review Hearing
24 Month Review Hearing

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