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Statewide Caregiver Survey
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 fill out a separate survey for each child in your care.
*
1.
I am a
(Required.)
Relative Caregiver
Non-relative extended family member (NREFM)
Resource parent
*
2.
What is or was the county of jurisdiction for the child's case?
(Required.)
*
3.
How long have you served as a caregiver for a child currently or recently in your home?
(Required.)
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
.
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
*
4.
How old is your child?
(Required.)
*
5.
Did you receive written notice of the following juvenile court hearings 15 days prior to the following review hearing as required by law?
(Required.)
Yes, 15 or more days before hearing
Yes, less than 15 days before hearing
No
N/A
6 Month Review Hearing
Yes, 15 or more days before hearing
Yes, less than 15 days before hearing
No
N/A
12 Month Review Hearing
Yes, 15 or more days before hearing
Yes, less than 15 days before hearing
No
N/A
18 Month Review Hearing
Yes, 15 or more days before hearing
Yes, less than 15 days before hearing
No
N/A
24 Month Review Hearing
Yes, 15 or more days before hearing
Yes, less than 15 days before hearing
No
N/A
*
6.
With the notice of hearing, did you receive a copy of the
Caregiver Information Form JV-290
?
(Required.)
Yes
No
N/A
6 Month Review Hearing
Yes
No
N/A
12 Month Review Hearing
Yes
No
N/A
18 Month Review Hearing
Yes
No
N/A
24 Month Review Hearing
Yes
No
N/A
*
7.
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?
(Required.)
Yes
No
N/A
6 Month Review Hearing
Yes
No
N/A
12 Month Review Hearing
Yes
No
N/A
18 Month Review Hearing
Yes
No
N/A
24 Month Review Hearing
Yes
No
N/A
*
8.
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.)
(Required.)
Yes, 10 or more days before hearing
Yes, less than 10 days before hearing
No
N/A
6 Month Review Hearing
Yes, 10 or more days before hearing
Yes, less than 10 days before hearing
No
N/A
12 Month Review Hearing
Yes, 10 or more days before hearing
Yes, less than 10 days before hearing
No
N/A
18 Month Review Hearing
Yes, 10 or more days before hearing
Yes, less than 10 days before hearing
No
N/A
24 Month Review Hearing
Yes, 10 or more days before hearing
Yes, less than 10 days before hearing
No
N/A
