There's no denying that the adoption process involves a lot of paperwork. If you are seeking the aid, advice, and counsel of an adoption attorney, he or she will guide you through the mountains of paper that lead to your child. In order to do so, you will need to provide your attorney with a vast amount of information. You can expedite the process by completing the following questionnaire before your first meeting with your lawyer.
  ADOPTIVE MOTHER ADOPTIVE FATHER Name________________________________ ______________________________ Date of Birth___________________________ ______________________________ Social Security Number__________________ ____________________Address, Including County
      Length of Time at that Address   _______ years _______ years Previous Address(es) (for last 10 years)       Home Telephone Number ____________________ ____________________ Work Telephone Number ____________________ ____________________ Facsimile Number ____________________ ____________________ E-mail Address ____________________ ____________________ Former Name(s) ____________________ ____________________ ____________________ ____________________ Employers ____________________ ____________________ Position ____________________ ____________________ Employer's Address ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ Length of Time with Employer _______ years _______ years Previous Employer(s) (for last 10 years) ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ Gross Monthly Income $_________________ $_________________ Other Income Source/Amount ________________________ _________________________ Source/Amount ________________________ _________________________ Source/Amount ________________________ _________________________ Date of Marriage _________________________________ Place of Marriage ________________________________ Previous Marriage(s)   Yes ____   No ____ Yes ____   No ____ Ended by: Ended by: Death ____ Divorce ____ Date ______ Death ____ Divorce ____ Date _____ Death ____ Divorce ____ Date _____ Death ____ Divorce ____ Date _____ Children of Current Marriage Name                                        Date of Birth Adopted?       Living in home?        Race/Nationality _______________________  _________ Yes/No                 Yes/No                     __________ _______________________  _________ Yes/No                 Yes/No                     __________ _______________________  _________ Yes/No                 Yes/No                     __________ _______________________  _________ Yes/No                 Yes/No                     __________ _______________________  _________ Yes/No                 Yes/No                     __________ Children from Other Marriages or Relationships Name                                        Date of Birth Adopted?       Living in home?        Race/Nationality _______________________  _________ Yes/No                 Yes/No                     __________ _______________________  _________ Yes/No                 Yes/No                     __________ _______________________  _________ Yes/No                 Yes/No                     __________ _______________________  _________ Yes/No                 Yes/No                     __________I/we am/are interested in (check all that apply):
Domestic Adoption _____ Â Â Â Intercountry Adoption _____ Â Â Â Open Adoption _____
Closed Adoption _____ Â Â Â Infant Adoption _____ (under 12 months)
Older Child _____ (state desired age range _____-_____) Â Â Â Sibling Groups _____
Do you have a gender preference? Yes, I/we prefer a ___________. Â Â Â No _____
State desired race or ethnicity of child(ren), if any. Â Â _____________________
If you are contemplating intercountry adoption, are there particular countries you are interested in?  _______________________
I/we have the following amount available to fund the adoption (may affect options that can be pursued):
Up to $1,000 _____ Â Â Â $1,000 to $5,000 _____ Â Â Â $5,000 to $10,000 _____
$10,000 to $20,000 _____ Â Â Â $20,000 to $30,000 _____ Â Â Â Over $30,000 _____
Do you have a completed home study? Â Â Â Yes _____ No _____
Has an adoption ever been denied to you? Â Â Â Yes _____ No _____
Have you ever been arrested? Â Â Â Adoptive mother: _______ Â Â Â Â Adoptive father: _______
If yes, explain:
Are you in good health? Â Â Â Adoptive mother: ________ Adoptive father: _______
Explain all current and chronic illnesses, past and future surgeries, medications you are currently taking, and other relevant health information:
Do you have a history of alcohol or drug abuse? Â Â Â Adoptive mother: ________ Â Â Â Adoptive father: ________
List three references who have known you for at least five years. Include a family member, a co-worker, and a social friend or neighbor.
Name                       Address Relationship           How long known? ______________    ____________________ _______________    ____________ ______________    ____________________ _______________    ____________ ______________    ____________________ _______________    ____________Other Important Information
Questions to Ask My Attorney
