Only in Adoption. Were Your Rights Respected?
In the effort to protect and advocate for fair treatment and laws within the realm of the adoption practice, this short five-section survey seeks to understand the activities of adoption facilitators based on the experiences, rights, and protections of the individuals they placed. Your name and identifying characteristics are NOT required. Expect that it will take about ten minutes to complete.
*Note: This survey is only for individuals who were adopted under the age of 18, and not biologically related to both adoptive parents. If you were fostered, adopted by only one step-parent with continual knowledge and relationships with biological family at the time of placement, or NOT adopted, please refrain from taking this survey.
* Required
Email address
*
Your email
Are you male or female?
*
Choose
Male
Female
I rather not answer this question
Did anyone ask for your permission before they adopted you?
Yes
No
Clear selection
When the adoption placement occurred, were you consciously aware that a life-long change was about to take place?
Yes
No
Clear selection
What year were you adopted?
*
Choose
Before 1920
1921 - 1930
1931 - 1940
1941 - 1950
1951 - 1960
1961 - 1970
1971 - 1980
1981 - 1990
1991 - 2000
After 2001
FROM which country were you born?
*
Choose
United States
Bangladesh
Bolivia
Brazil
Cambodia
Cameroon
China
Colombia
Ethiopia
Greece
Guatemala
Guyana
Haiti
Honduras
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Ireland
Italy
Jamaica
Japan
Kenya
Korea, South
Laos
Lebanon
Malawi
Mexico
Nigeria
Peru
Philippines
Romania
Russia
Sri Lanka
Uganda
Ukraine
OTHER
If the nation you were adopted FROM is not listed, please write it in here:
Your answer
What country were you adopted TO?
*
Choose
United States
Australia
Belgium
Denmark
England
France
Germany
Ireland
Italy
Japan
Korea, South
Luxemberg
the Netherlands
Spain
Sweden
Switzerland
If the nation you were adopted TO is not listed, please write it in here:
Your answer
Are you the same race as your adoptive parents?
*
Choose
Yes
No
Partially
Unsure
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This form was created inside of the administration office.
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