Home and neighbourhood :
Type of home, description of neighbourhod, accessibility to schools, medical facilities, basic amenities in the home and standard of living as evident from the couple's life style.
Social and family backgrounds :
Adoptive father
Physical appearance, complexion, height and build, any characteristic behaviour and general personality.
Family hisyory - Description of family, number of siblings, occupation of parents, economic and social status, Birth places, Educated, feelings of early childhood, family relationships.
Details of - Educational background, occupation, types of jobs, future plans about the career.
Social interests - Activities, Hobbies, Recreational plans
Adoptive Mother
Physical appearance, complexion, height and build, any characteristic behaviour and general personality.
Family hisyory - Description of family, number of siblings, occupation of parents, economic and social status, Birth places, Educated, feelings of early childhood, family relationships.
Details of - Educational background, occupation, types of jobs, future plans about the career.
Social interests - Activities, Hobbies, Recreational plans
Current marital and family relationships-
Relationship between husband and wife, length, quality and stability of marriage, patterns of communications, value orientation and areas of adjustment. Relationship with members of each other's family.
Adoption - attitude, motivation and expectations
Reasons for adoption, feelings about childlessness and inability to have biological children, treatment taken for infertility. Possibility of having biological children in the future, and feeling towards the adopted child. Motivation to adopt in case the couple already has a biological child.
Expectations regarding the adoptive child - Background, apprehensions regarding heredity, attitude towards illegitimacy, sex, age, religious preferences, Attitudes of significant family family members towards adoption.
If mother is working, then plans for alternate child care arrangement.
Financial status
Total family income, stability of source of income, savings, insurance and property.
Reference
The couple has to produce letters of reference saying their opinion about the adoptive parents
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:
