Thank you for participating in Advokids' Caregiver Survey. This information is vital for child welfare reform. Your responses to this survey will be kept confidential.

Please fill out a separate survey for each child in your care.

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* 1. I am a

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* 2. What is or was the county of jurisdiction for the child's case?

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* 3. How long have you served as a caregiver for a child currently or recently in your home?

  0-3 Months 3-6 Months 6-9 Months 9-12 Months 12-15 Months 15-18 Months 18-24 Months More than 24 months
.

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* 4. How old is your child?

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* 5. Did you receive written notice of the following juvenile court hearings 15 days prior to the following review hearing as required by law?

  Yes, 15 or more days before hearing Yes, less than 15 days before hearing No N/A
6 Month Review Hearing
12 Month Review Hearing
18 Month Review Hearing
24 Month Review Hearing

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* 6. With the notice of hearing, did you receive a copy of the Caregiver Information Form JV-290?

  Yes No N/A
6 Month Review Hearing
12 Month Review Hearing
18 Month Review Hearing
24 Month Review Hearing

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* 7. With the notice of hearing, did you receive a copy of the Instruction Sheet for Caregiver Information Form JV-290-INFO that explains how to complete and file the form?

  Yes No N/A
6 Month Review Hearing
12 Month Review Hearing
18 Month Review Hearing
24 Month Review Hearing

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* 8. With your notice of hearing, did you receive a written statement of the social worker's recommendations, including any recommended change in custody or status. (This is usually 1-2 sentences or a checked box.)

  Yes, 10 or more days before hearing Yes, less than 10 days before hearing No N/A
6 Month Review Hearing
12 Month Review Hearing
18 Month Review Hearing
24 Month Review Hearing

T