SAFE Questionnaire - Single Applicants

The Structured Analysis Family Evaluation (SAFE) questionnaire is a comprehensive assessment tool designed to evaluate your readiness and suitability to become a resource parent. Please answer all questions thoroughly and honestly.

Important: This questionnaire may take 2-3 hours to complete thoroughly. Please provide detailed, thoughtful responses to help us better understand your background and readiness to care for foster children.

SAFE Questionnaire for Single Applicants

This comprehensive assessment will help us understand your background, motivation, and readiness to become a resource parent.

Form Details

Please provide the required information below.

Important Notice

Please select your assigned caseworker(s) from the list below. You can select multiple caseworkers if needed. If you are unsure who your caseworker is, please contact CCDSS at (301) 609-6000 before proceeding.

My Caseworker(s) *

This form will be sent to your selected caseworker(s) for processing. Select all relevant caseworkers.

Contact Information

First Name *

Last Name *

Email Address *

Phone Number *

Q1: Personal Background and History

Describe your childhood experiences and how they have shaped who you are today *

Describe your current relationships with family members *

Describe any significant losses or traumatic experiences in your life *

How do you cope with stress and difficult situations? *

Describe your current support system *

Q2: Parenting Philosophy and Experience

Describe your parenting experience or philosophy *

Describe your approach to discipline and behavior management *

Describe your knowledge of child development *

Describe any experience you have with children with special needs (Optional)

Explain your age preferences and rationale *

Q3: Motivation and Expectations

Describe your motivation to become a resource parent *

What are your expectations of foster children? *

What are your expectations of the foster care system? *

How would you define success in foster care? *

What challenges do you anticipate and how would you handle them? *

Q4: Lifestyle and Home Environment

Describe your typical daily routine *

Describe your home environment and living situation *

Describe your community involvement and activities *

How would you support a child's cultural identity? *

How would you support a child's education? *

Q5: Trauma and Behavioral Challenges

Describe your understanding of childhood trauma and its effects *

How would you handle behavioral challenges? *

Describe your willingness to support therapeutic interventions *

How would you handle crisis situations? *

Q6: Relationships and Boundaries

Describe your views on maintaining birth family relationships *

Describe your understanding of professional boundaries *

Describe your understanding of confidentiality requirements *

Describe your willingness to work as part of a team *

Additional Information

Additional Information (Optional)

Questions or Concerns (Optional)