Open Adoption Home Study Interview
Applicant Information
Applicant Name
Date of Birth
Email
Phone Number
Address
Family & Household
List all members of your household (name, age, relationship):
Describe your family structure and dynamics:
Motivation for Adoption
Why have you chosen open adoption?
What are your expectations for contact with the birth family?
Parenting Experience & Preparation
Describe any previous parenting or childcare experience:
How are you preparing for adoption?
Home & Community
Describe your home and neighborhood:
What community resources are available to your family?
Support System
Describe your support network (friends, family, community):
Values & Beliefs
What are your core family values?
Describe your beliefs about open adoption:
Additional Information
Is there anything else you would like to share?