Same-Sex Couple Adoption Assessment
1. Couple Information
Partner 1 Full Name
Date of Birth
Occupation
Partner 2 Full Name
Date of Birth
Occupation
Home Address
Contact Information
2. Relationship History
Length of Relationship
Brief History of Relationship
3. Motivation for Adoption
Why do you want to adopt?
Previous Experience with Children
4. Home Environment
Description of Home and Neighborhood
Other Individuals Living in Home (names, ages, relationships)
5. Support Systems
Family and Friends Support
Community Resources and Networks
6. Parenting Approach
Parenting Philosophy and Values
Plans for Child’s Education and Development
7. Financial Stability
Current Employment and Income Sources
Plans for Managing Adoption-Related & Child-Related Expenses
8. Awareness of Challenges
Understanding of Challenges for Same-Sex Couple Adopting
Preparedness to Address Potential Issues
9. Additional Information
Other Relevant Details