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Birth Parent's Questionnaire
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| Who handled the adoption? | ||
| When and where was the adoption finalized? | ||
| What court? | ||
| Was the child placed in a foster home? | ||
| When? | Where? | |
| Was there other court action? | ||
| Have the adopting couple adopted other children? | ||
| Have they contacted the agency since the adoption? | ||
| Has the file been updated? | ||
| What name was given the child? | ||
| Physical description of adoptive parents: race, nationality | ||
| Mother: | ||
| Father: | ||
| Occupation: | ||
| Mother: | ||
| Father: | ||
| Educational background: | ||
| Mother: | ||
| Father: | ||
| Origin: | ||
| Mother: | ||
| Father: | ||
| Family background: | ||
| When and where they married? | ||
| Children in family: | ||
| Religious affiliations: | ||
| Military background: | ||
| Who handled the adoption? | ||
| In which court was the adoption finalized? | ||
| When? | Updated? | |
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Adoption Search
Adopted Child Questionnaire
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| What were my birth parents' names? |
| Mother: |
| Father: |
| Were my birth parents married to each other? |
| Where were they from? |
| Did they have family in the area? |
| Other family background: |
| Physical description: nationality and race |
| Mother: |
| Father: |
| Education |
| Father: |
| Mother: |
| Occupation |
| Father: |
| Mother: |
| Ages |
| Father: |
| Mother: |
| Religious affiliations |
| Father: |
| Mother: |
| Other Relatives: |
| Medical information |
| Father: |
| Mother: |
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Reason for relinquishing child
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