Interest & Eligibility Questionnaire

Part 1: Profile of Child(ren) you are hoping to adopt

This helps our team better understand the children you are open to adopting, but don't worry, we know your answers may change. We will discuss this with you several times throughout the adoption process.

Question Title

* 1. Age (choose all ages that you are open to considering):

0 - 2 (note children under the age of 2 are rarely available)

2 - 4

5 - 8

9 - 12

13+

Question Title

* 2. Gender:

We're open to gender

Question Title

* 3. Are you open to adopting siblings?

Yes

Unsure

Question Title

* 4. I am/we are open to adopting a child with (choose all that apply):
(Please note that the needs we see amongst children range from mild and correctable to significant and complex. Each country is different and we will discuss this with you before you choose your program.)

A medical diagnosis

Developmental delays

Background risks (prenatal exposure, birth parent condition, etc.)

Other (please specify)

Question Title

* 5. Which of the following countries are you interested in adopting from?

Bulgaria

India

Dominican Republic

Ghana

Honduras

Hong Kong

Romania

Sri Lanka

Uganda

Unsure/undecided

A country that is not listed. Please provide your country of interest. If you are working with a placement agency, please provide their name as well.

Interest & Eligibility Questionnaire

Part 1: Profile of Child(ren) you are hoping to adopt

Question Title

* 1. Age (choose all ages that you are open to considering):

Question Title

* 2. Gender:

Question Title

* 3. Are you open to adopting siblings?

Question Title

* 4. I am/we are open to adopting a child with (choose all that apply): (Please note that the needs we see amongst children range from mild and correctable to significant and complex. Each country is different and we will discuss this with you before you choose your program.)

Question Title

* 5. Which of the following countries are you interested in adopting from?

* 4. I am/we are open to adopting a child with (choose all that apply):
(Please note that the needs we see amongst children range from mild and correctable to significant and complex. Each country is different and we will discuss this with you before you choose your program.)