Foster Parent Exit Survey

Your Feedback Is Valuable

You’re no longer a licensed foster parent. Folks leave for all sorts of reasons. We’d like to hear more about your experience—and why you left—so we can improve the foster parenting experience for those who follow.

Please take a few minutes to let us know more about your experience! It’s important to us that we offer the best support to Nebraska's foster families and your feedback helps us do this.

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* 1. Information

Date of Exit

Completed By

Foster Parent Name(s)

County

Address

Phone

Email Address

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* 2. How long did you foster?

0-6 Months

7-12 Months

1 year

2 years

3 years

4 years

5 years

6-10 years

over 10 years

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* 3. 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

Infertility Issues

Extra Income

Spiritual or Religious Calling

Interested in Adopting

Other (please specify)

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* 4. Have you been a foster parent for a child that was related or known to you? Check all that apply.

Yes

Comment (please specify)

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* 5. What were the age ranges you cared for? Check all that apply.

0 to 5

6 to 12

13 and up

All Ages

Comment (please specify)

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* 6. Do you have family members and/or close friends that are or were foster parents?

Yes

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* 7. Preparation and Training

	Agree	Feel Neutral	Disagree	N/A
The pre-service training I received was helpful in perparing me to foster	The pre-service training I received was helpful in perparing me to foster Agree	The pre-service training I received was helpful in perparing me to foster Feel Neutral	The pre-service training I received was helpful in perparing me to foster Disagree	The pre-service training I received was helpful in perparing me to foster N/A
NE Health and Human Services/Agency policies were explained to me	NE Health and Human Services/Agency policies were explained to me Agree	NE Health and Human Services/Agency policies were explained to me Feel Neutral	NE Health and Human Services/Agency policies were explained to me Disagree	NE Health and Human Services/Agency policies were explained to me N/A
I was aware of the need for continued training/education to maintain licensure	I was aware of the need for continued training/education to maintain licensure Agree	I was aware of the need for continued training/education to maintain licensure Feel Neutral	I was aware of the need for continued training/education to maintain licensure Disagree	I was aware of the need for continued training/education to maintain licensure N/A
I was active in a foster parent support group	I was active in a foster parent support group Agree	I was active in a foster parent support group Feel Neutral	I was active in a foster parent support group Disagree	I was active in a foster parent support group N/A
In-service training opportunities were routinely made available	In-service training opportunities were routinely made available Agree	In-service training opportunities were routinely made available Feel Neutral	In-service training opportunities were routinely made available Disagree	In-service training opportunities were routinely made available N/A

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* 8. Was there training that you needed, but didn't receive, which might have influenced your decision to quit fostering?

Yes

What training was that? (please specify)

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* 9. Placement, Communication, and Support

Other (please specify)

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

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

	Favorable	Unfavorable	Non-existent	N/A
Resource Worker	Resource Worker Favorable	Resource Worker Unfavorable	Resource Worker Non-existent	Resource Worker N/A
Case Worker	Case Worker Favorable	Case Worker Unfavorable	Case Worker Non-existent	Case Worker N/A
Agency Worker	Agency Worker Favorable	Agency Worker Unfavorable	Agency Worker Non-existent	Agency Worker N/A
Birth Family	Birth Family Favorable	Birth Family Unfavorable	Birth Family Non-existent	Birth Family N/A

Other (please specify)

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* 12. Reason for Leaving. Check all that apply.

Personal Reason, including health issues

Family composition changed - Adopted or guardianship of placement

Received poor support

Change in family circumstances that helped kinship placement return home

Problems with placement - "child was the primary reason" - behavioral issues, etc.

Issue with re-licensing - QA of home, lack of training hours, etc.

Felt undervalued and disrespected

Allegation/Assessment

Burn Out

Moved

Involuntary Closure

Comment (please specify)

Foster Parent Exit Survey

Your Feedback Is Valuable

Question Title

* 1. Information

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* 2. How long did you foster?

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

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* 4. Have you been a foster parent for a child that was related or known to you? Check all that apply.

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* 5. What were the age ranges you cared for? Check all that apply.

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* 6. Do you have family members and/or close friends that are or were foster parents?

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* 7. Preparation and Training

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* 8. Was there training that you needed, but didn't receive, which might have influenced your decision to quit fostering?

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* 9. Placement, Communication, and Support

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

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

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* 12. Reason for Leaving. Check all that apply.

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

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* 14. Would you consider becoming a foster parent again in the future?

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* 15. Would you consider being a respite provider for other foster families?

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* 16. Would you encourage someone else to foster?

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* 17. How can we improve the retention of foster parents?

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* 18. Any additional comments?

	Agree	Feel Neutral	Disagree	N/A
I was satisfied with the information provided to me prior to placement.	I was satisfied with the information provided to me prior to placement. Agree	I was satisfied with the information provided to me prior to placement. Feel Neutral	I was satisfied with the information provided to me prior to placement. Disagree	I was satisfied with the information provided to me prior to placement. N/A
I felt free to make decisions to accept or decline placements without fear of negative repercussions.	I felt free to make decisions to accept or decline placements without fear of negative repercussions. Agree	I felt free to make decisions to accept or decline placements without fear of negative repercussions. Feel Neutral	I felt free to make decisions to accept or decline placements without fear of negative repercussions. Disagree	I felt free to make decisions to accept or decline placements without fear of negative repercussions. N/A
The Case Managers I worked with were professional and knowledgeable.	The Case Managers I worked with were professional and knowledgeable. Agree	The Case Managers I worked with were professional and knowledgeable. Feel Neutral	The Case Managers I worked with were professional and knowledgeable. Disagree	The Case Managers I worked with were professional and knowledgeable. N/A
Agency/NDHHS personnel were available and open to hear my needs.	Agency/NDHHS personnel were available and open to hear my needs. Agree	Agency/NDHHS personnel were available and open to hear my needs. Feel Neutral	Agency/NDHHS personnel were available and open to hear my needs. Disagree	Agency/NDHHS personnel were available and open to hear my needs. N/A
Agency/NDHHS workers made face-to-face contact at least once a month with me and the children in my care.	Agency/NDHHS workers made face-to-face contact at least once a month with me and the children in my care. Agree	Agency/NDHHS workers made face-to-face contact at least once a month with me and the children in my care. Feel Neutral	Agency/NDHHS workers made face-to-face contact at least once a month with me and the children in my care. Disagree	Agency/NDHHS workers made face-to-face contact at least once a month with me and the children in my care. N/A
My phone calls to the agency/NDHHS worker were returned within 48 hours or two business days.	My phone calls to the agency/NDHHS worker were returned within 48 hours or two business days. Agree	My phone calls to the agency/NDHHS worker were returned within 48 hours or two business days. Feel Neutral	My phone calls to the agency/NDHHS worker were returned within 48 hours or two business days. Disagree	My phone calls to the agency/NDHHS worker were returned within 48 hours or two business days. N/A
It was clear who to contact at the agency/NDHHS when I had a question.	It was clear who to contact at the agency/NDHHS when I had a question. Agree	It was clear who to contact at the agency/NDHHS when I had a question. Feel Neutral	It was clear who to contact at the agency/NDHHS when I had a question. Disagree	It was clear who to contact at the agency/NDHHS when I had a question. N/A
If issues arose with the agency/NDHHS worker, his or her supervisor was avialable to assist me in problem solving when requested.	If issues arose with the agency/NDHHS worker, his or her supervisor was avialable to assist me in problem solving when requested. Agree	If issues arose with the agency/NDHHS worker, his or her supervisor was avialable to assist me in problem solving when requested. Feel Neutral	If issues arose with the agency/NDHHS worker, his or her supervisor was avialable to assist me in problem solving when requested. Disagree	If issues arose with the agency/NDHHS worker, his or her supervisor was avialable to assist me in problem solving when requested. N/A
The amount of contact the agency/NDHHS worker made with my family was sufficient.	The amount of contact the agency/NDHHS worker made with my family was sufficient. Agree	The amount of contact the agency/NDHHS worker made with my family was sufficient. Feel Neutral	The amount of contact the agency/NDHHS worker made with my family was sufficient. Disagree	The amount of contact the agency/NDHHS worker made with my family was sufficient. N/A
The agency/NDHHS supported my own family.	The agency/NDHHS supported my own family. Agree	The agency/NDHHS supported my own family. Feel Neutral	The agency/NDHHS supported my own family. Disagree	The agency/NDHHS supported my own family. N/A
I developed individuallized respite care plans for children in my home and utilized community resources and persons know to the children for respite.	I developed individuallized respite care plans for children in my home and utilized community resources and persons know to the children for respite. Agree	I developed individuallized respite care plans for children in my home and utilized community resources and persons know to the children for respite. Feel Neutral	I developed individuallized respite care plans for children in my home and utilized community resources and persons know to the children for respite. Disagree	I developed individuallized respite care plans for children in my home and utilized community resources and persons know to the children for respite. N/A
I received the services, support and resources I needed to meet the needs of the children in my home.	I received the services, support and resources I needed to meet the needs of the children in my home. Agree	I received the services, support and resources I needed to meet the needs of the children in my home. Feel Neutral	I received the services, support and resources I needed to meet the needs of the children in my home. Disagree	I received the services, support and resources I needed to meet the needs of the children in my home. N/A
I was involved as a team member in the service and case planning for children in my home.	I was involved as a team member in the service and case planning for children in my home. Agree	I was involved as a team member in the service and case planning for children in my home. Feel Neutral	I was involved as a team member in the service and case planning for children in my home. Disagree	I was involved as a team member in the service and case planning for children in my home. N/A
Networking with other resource families and relative caregivers was made available.	Networking with other resource families and relative caregivers was made available. Agree	Networking with other resource families and relative caregivers was made available. Feel Neutral	Networking with other resource families and relative caregivers was made available. Disagree	Networking with other resource families and relative caregivers was made available. N/A
I was given notice of and encouraged to attend court hearings for the children in my care.	I was given notice of and encouraged to attend court hearings for the children in my care. Agree	I was given notice of and encouraged to attend court hearings for the children in my care. Feel Neutral	I was given notice of and encouraged to attend court hearings for the children in my care. Disagree	I was given notice of and encouraged to attend court hearings for the children in my care. N/A
Efforts to maintain appropriate sibling contact were encouraged and made available to me.	Efforts to maintain appropriate sibling contact were encouraged and made available to me. Agree	Efforts to maintain appropriate sibling contact were encouraged and made available to me. Feel Neutral	Efforts to maintain appropriate sibling contact were encouraged and made available to me. Disagree	Efforts to maintain appropriate sibling contact were encouraged and made available to me. N/A
Opportunities were made available to work with the child's birth parents.	Opportunities were made available to work with the child's birth parents. Agree	Opportunities were made available to work with the child's birth parents. Feel Neutral	Opportunities were made available to work with the child's birth parents. Disagree	Opportunities were made available to work with the child's birth parents. N/A
When a child left my care, I was given ample time to prepare that child and my family.	When a child left my care, I was given ample time to prepare that child and my family. Agree	When a child left my care, I was given ample time to prepare that child and my family. Feel Neutral	When a child left my care, I was given ample time to prepare that child and my family. Disagree	When a child left my care, I was given ample time to prepare that child and my family. N/A
I had input into the visitation plan for children in my home.	I had input into the visitation plan for children in my home. Agree	I had input into the visitation plan for children in my home. Feel Neutral	I had input into the visitation plan for children in my home. Disagree	I had input into the visitation plan for children in my home. N/A
I was treated professionally, with courtesy and respect and felt like a valued member of the child welfare team.	I was treated professionally, with courtesy and respect and felt like a valued member of the child welfare team. Agree	I was treated professionally, with courtesy and respect and felt like a valued member of the child welfare team. Feel Neutral	I was treated professionally, with courtesy and respect and felt like a valued member of the child welfare team. Disagree	I was treated professionally, with courtesy and respect and felt like a valued member of the child welfare team. N/A
I felt the my family was well matched with the child(ren) placed in my care.	I felt the my family was well matched with the child(ren) placed in my care. Agree	I felt the my family was well matched with the child(ren) placed in my care. Feel Neutral	I felt the my family was well matched with the child(ren) placed in my care. Disagree	I felt the my family was well matched with the child(ren) placed in my care. N/A