Home Study Survey

  • Safe Families Alaska Home Study Survey

    Please note that the answers to your questions do not qualify OR disqualify you from volunteering with Safe Families for Children. Our staff simply wants to get to know you and your family. A more in-depth conversation will be had at your home certification visit.

  • Please have everyone in your house, over the age of 18, fill this form out individually.

  • Current Child Welfare Participation

  • Are you currently a licensed Foster Home in the State of Alaska?

  • Support System

  • Family Dynamics

    the following questions pertain to the children currently living in your home
  • Sibling Relationships
  • Health of Children
  • Behavior of Children
  • Discipline of Children
  • Do your children have special needs? (Check all that apply)

  • Support of Placing Parents

  • Are you interested in developing a relationship with the parent of the children in your care?

  • Safe Families Child Information

    Please know you can change this at any point
  • What gender(s) are you interested in hosting in your home?

  • Individual Assessment

  • Family Background

  • Which of the following has occurred in your family of origin?
  • Were you ever separated from either or both of your parents during your childhood for any of the following reasons?
  • Which words best describe your childhood (before teenage)?
  • Which words best describe your teenage years?
  • Which words best describe your young adult years?
  • Check the boxes that best describe what you were like as a child (before teenage years)
  • Check the boxes that best describe what you were like as a teenager

  • Loss History

  • Employment, Education, and Volunteer History

  • Cultural Experiences

  • Should be Empty: