"The soul is healed by being with children." Fyodor Dostoevsky

The soul is healed by being with children

"There is no trust more sacred than the one the world holds with children." Kofi A. Annan

children laughing and playing

"Seek the wisdom of the ages, but look at the world through the eyes of a child." Ron Wild

Kids playing on playground equipment

"Children have more need of models than of critics." Carolyn Coats

Model Kid for children

Our vision is that every child involved in the child welfare or juvenile justice systems becomes resilient, safe, healthy, and economically secure.

Our vision is that every child involved in the child welfare or juvenile justice systems becomes resilient, safe, healthy, and economically secure.

Our vision is that every child involved in the child welfare or juvenile justice systems becomes resilient, safe, healthy, and economically secure.

Young Adult Questionnaire – Bridge to Independence Program (Age 19 – 20)

Thank you for responding to this questionnaire. Your input provides valuable insight on how the Bridge to Independence program is working, and suggestions on what needs improved. Your input also tells us how you are benefiting from the program. We collect data and provide a report to the Legislature (no names of young adults are used). We also by law provide a brief report to the court. You and your Independence Coordinator will receive a copy of the report.

First Name: Required

Last Name: Required

Email Address:

Phone Number:

City: Required

State: Required

Who is your Independence Coordinator (IC)?

Does your IC involve you in the on-going development of your goals/plan?

Yes No

Is your IC assisting you with learning new skills?

Yes No

Is your IC assisting you with accessing local resources?

Yes No

Does your IC meets with you once a month face to face?

Yes No

Do you have other contact with your IC during the month?

Yes No

Do you have an attorney representing you as part of your b2i court case?

Yes No

Are you told when your court hearings are?

Yes No

When you left foster care, were you given a set of important documents (like medical records, physician information, immunization records, school documents) and photographs? This is sometimes referred to as a “life book.” [Only applicable if you aged out of Foster Care without a guardianship in place]
Yes Yes, but it was missing important information No Not Applicable

Below is a list of broad topic areas that many people who have aged out of foster care need assistance with. These are likely topic areas you have discussed with your IC, and for some or all of them, you and your IC may have set specific goals to work on during your time in the b2i program. For each topic area:

Tell us if you have a goal related to that topic.
And if you do have a goal, tell us what it is, what you, your IC, and/or others are doing to help you achieve your goal, and how well it's going or if you are running into any problems along the way.

Education (for example, completing a GED, working on a degree, or taking part in a vocational program)

Yes No

If yes, tell us about your goal(s) and how it's going?

Employment (for example, finding a job, getting a promotion, or participating in a work skills program)

Yes No

If yes, tell us about your goal(s) and how it's going?

Financial/Credit (for example, creating a savings plan, establishing credit, or learning to manage finances)

Yes No

If yes, tell us about your goal(s) and how it's going?

Housing (for example, finding a permanent living situation, locating a new house or apartment)

Yes No

If yes, tell us about your goal(s) and how it's going?

Transportation (for example, learning a public transportation system, locating reliable transportation for school or employment, purchasing a vehicle, learning to drive, obtaining a driver's license)

Yes No

If yes, tell us about your goal(s) and how it's going?

Life skills, other than those listed above (for example, learning to cook or shop for groceries on a budget, setting boundaries with family and friends)

Yes No

If yes, tell us about your goal(s) and how it's going?

Personal records (for example, obtaining copies of your birth certificate, social security card, educational transcripts, etc.)

Yes No

If yes, tell us about your goal(s) and how it's going?

Health (for example, accessing treatment for a mental health condition, managing medications, finding a primary care physician or dentist)

Yes No

If yes, tell us about your goal(s) and how it's going?

Relationships/Support System (for example, creating and maintaining a support system, healthy relationship skills)

Yes No

If yes, tell us about your goal(s) and how it's going?

Pregnancy/Parenting, if applicable (for example, prenatal care, parenting skills, finding childcare)

Yes No Not Applicable

If yes, tell us about your goal(s) and how it's going?

Are you working on any other goals as part of your b2i program that aren't covered in the previous questions?

Yes No

If yes, tell us about your goal(s) and how it's going?

Are there any services programs, or supports you would like to have that were not included in the current plan?

Yes No

If yes, what would you like added to the plan?

Describe your housing. Are you renting or couch surfing? Living with family members, living with friends, etc.?

Please describe any recommendations you may have for improving the b2i program.

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