Foster Care

1. Which of the following best describes your current relationship status?
2. Do you rent or own the place where you live?
3. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)
4. In what year were you born? (enter 4-digit birth year; for example, 1976)
5. How many children age 17 or younger live in your household?
6. How many people currently live in your household?
7. How many bedrooms are in your home?
8. Which category below includes your age?
9. What is keeping you from being a foster parent?
10. What would help you feel "at home" if you were displaced from your home?
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