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Surveys
2014
May
A
Adoptive Parents
Adoptive Parents
Lowndes & Barrett, LLC
Attorneys at Law
Website Questionnaire
0%
Exit Survey
Identifying information will not be placed on the website, but is needed for office purposes.
Him:
First, Middle, and Last Name
Her:
First, Middle, and Last Name
Street Address
City, State, Zip
County
Adoption Phone #:
Adoption E-mail:
Date and Place of Marriage
Are there other children in the home? If yes, please answer below:
Name
Gender
Age
Adopted or Biological?
From a previous marriage?
Child 1
Child 2
Child 3
About You
Him
Her
Adopted yourself?
Age / DOB
Where Born (City, State)
Race
Nationality
Language(s) Spoken
Religion
Denomination
Level of Education
College(s) Attended
Occupation
Employer
Work plans once the baby arrives
Fun Stuff
Him
Her
Favorite Food
Favorite Music
Favorite Sport(s)
Favorite Book(s)
Favorite Movie(s)
Favorite TV Show(s)
Favorite Holiday
I'm afraid of:
Dream Vacation
Hobbies
Talents
Random Fun Fact #1
Random Fun Fact #2
Random Fun Fact #3
About Us:
What We Like to do Together:
About Wife (by Husband):
About Husband (By Wife):
Describe Your Home:
Describe Your Neighborhood:
Describe Your Pets:
Description of Husband's Family & Family Activities:
Description of Wife's Family & Family Activities:
Are any other family members adopted? If yes, who?
Dear Birth Mom Letter
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