Parent Questionnaire – Probation - Foster Care Review Office

Parent Questionnaire – Probation

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User Information

What is reported in this questionnaire may be included in the local board’s report to the legal parties to the case.

Your Name*

First Last

Name of Youth*

First Last (1st initial only)

Address*

City State

Board #: If Known

Meeting Date: If Known

System Contact

How often do you have contact with your child’s Probation Officer?

Is the contact with your child’s Probation Officer helpful?

How often do you have contact with your child’s placement?

Is the contact with your child’s placement helpful?

Do you participate in family team meetings?

Yes

If No, what is keeping you from attending?

Visitation

How often do you have contact (phone, virtual, or in-person) with your child?

How are the visits going?

Is there anything preventing you from having contact (phone, virtual, or in-person) with your child?

Services

Are there services your child needs but are not being provided?

If Probation was not involved, would you be able to provide for your child’s needs?

What needs to happen for your child to return home?

Education

Is your child in school?

Yes

If no, has your child graduated or is something preventing your child from being enrolled? Explain.

Where does your child go to school?

How is your child doing in school (grades/progress, challenges etc)

Describe any support or special education services your child is receiving.

Are there any education supports your child need that are not being provided? Explain.

Additional Information

Is there anything else that you would like us to know that we haven’t asked about?

Although not required, if you would like to submit any additional related documents you may do so below:

Accepted file types: pdf, xls, xlsx, doc, docx, jpg, png, gif, tiff, txt, Max. file size: 64 MB.

By returning this document, you confirm that this information is true and accurate and that you understand this information may be shared with the legal parties to the case.