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HOME STUDY REPORT |
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- Information about the couple:
Name of husband wife:
Address:
Age(date of birth):
Education:
Occupation:
Income:
Religion:
- Home
and neighbourhood:
Type of home, description of neighbourhood,
accessibility to schools, medical facilities,
basic amenities in the home and standard of
living as evident from the couples life
style.
- Social
and family backgrounds:
Adoptive father
Description in terms of physical appearance,
complexion, height and build, any characteristic
behaviour and general personality.
Family history, including description of family,
number of siblings, occupation of parents,
economic and social standing. Where born, raised,
educated, feelings about early childhood, and
family relationships.
Details about educational background, occupation,
types of jobs held, current employment status,
future plans related to work and career.
Social interests, activities, hobbies,
recreational plans.
Adoptive mother
(same as above)
- Current
marital and family relationships:
Current relationship between husband and
wife, the length, quality and stability of
marriage, patterns of communication, mutual
expectations, value orientations and areas of
adjustment. Relationship with members of each
others families.
- Adoption
- attitude, motivation and expectations:
Reasons for adoption, feelings about
childlessness and inability to have biological
children, type of treatment undertaken for
infertility, if applicable. Possibility of having
biological children in the future, and feelings
towards the adopted child. Motivation to adopt in
case the couple already has a biological child.
Expectations regarding childs medical and
social background, apprehensions regarding
hereditary influences, attitude towards
illegitimacy, sex, age and religious preferences,
if any. Attitudes of significant family members
towards adoption.
Anticipated plans after the child comes home. If
mother is working, then plans for alternate child
care arrangement, etc.
- Financial
status:
Total family income, stability of source of
income, savings, insurance and property.
- Health:
General health, comment on any illness
(current or in the past), present health as
stated in the medical report.
- References:
The couple has to give letters of reference
from persons who can be contacted for further
information regarding length of time they have
known the couple, their opinion of them as
prospective adoptive parents and their
recommendations.
- Evaluation:
Recommendations of the social worker, overall
impressions of the couple with reference to
special qualities and abilities, capacity for
adoptive parenthood, stability of the
relationship and overall suitability as adoptive
parents.
Home Study Report prepared by:
Name:
Signature:
Designation:
Date:
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