Birth Parents Questionnaire Form

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?