Demographic Information

The purpose of the following survey is to gather some factual data about you and your experiences. All responses are confidential unless you wish to share your identity for this research. Any information disclosed will be with your permission. While there may be publications and presentations as a result of this study, your name will not be used unless you choose to reveal your identity in the questions below. If you participate in this study, we will quote directly without using names. Names of people and places will be changed in transcripts and other data by the research team as the data is collected.  All information will be kept in a locked cabinet in a locked office at the university.

Upon completing this survey, you may be selected to participate in 2 interviews for a total of $100, paid upon completion of both interviews. 

Your participation is completely voluntary. You are free not to participate, or to stop participating at any time, for any reason without negative consequences.  In the event that you do withdraw from this study, the information you have already provided will be kept in a confidential manner. If you wish to withdraw from the study, please contact Amanda Moon.

If I have any more questions about your participation in this study, you can contact Amanda Moon by phone (843-240-9211) or email (ahmoon@mailbox.sc.edu). 

Question Title

* 1. Do you agree to participate in thus survey?

Question Title

* 2. Do you agree to participate in the interviews?

Question Title

* 3. Do you wish for your identity to remain anonymous?

Question Title

* 4. At any point in your life, did you live in foster care, group care, or kinship care?

Question Title

* 5. What is your full name?

Question Title

* 6. What is your date of birth?

Date

Question Title

* 7. What is your gender?

Question Title

* 8. In what state do you currently live?

Question Title

* 9. What is your race or ethnicity?

Question Title

* 10. If you are Native American, what is your tribe of origin?

Question Title

* 11. What is your current religion, if any?

Question Title

* 12. Which of the following best describes your current relationship status?

Question Title

* 13. How many children do you have?

Question Title

* 14. What is the best phone number to reach you at?

Question Title

* 15. What is your email address?

Question Title

* 16. To what physical address can we send a thank you card?

T