Practical issues assessment

Please read the questions carefully and answer as accurately as you're able to.

1. Q1. How old are you?

   Under 25 Mid-20s to 50s Over 60



2. Q2. Your relationship

   I'm single I'm married or in a civil partnership I live with a partner



3. Q3. How much experience do you have caring for children?

   None Quite a lot, although I still have lots to learn I'm very experienced and confident I could cope with any child



4. Q4. How busy are you?

   My life isn't too pressured - I'm confident I have time to care for a child I'm busy, but confident I have enough time to give a child the care and attention they need I'm on the go constantly and find it hard to balance all my responsibilities



5. Q5. How much support do you have?

   I have a strong, established group of friends or family on whom I can call for help There are a few people I might be able to call on for support... I'm not sure I don't have people around me to whom I can turn for practical or emotional support



6. Q6. Have you had fertility treatment?

   Yes, more than six months ago Yes, within the past six months I'm currently having fertility treatment No



7. Q7. Has your family experienced any major problems, such as separation, serious illness or the death of someone close?

   Yes, but we've come through them Yes, life has been difficult recently Yes, we're having problems at the moment No



8. Q8. How much spare room do you have?

   None There's a bedroom that can be shared There's a spare bedroom



9. Q9. Do you have any pets?

   No Yes, I have a pet that's used to children Yes, I have a pet that might be OK with children



10. Q10. What's the state of your health?

    I have no health problems I have occasional or minor health problems I have a serious, long-term health problem



11. Q11. Do you or your partner have a disability?

    Yes No



12. Q12. Does anyone in your household smoke?

    Yes No



13. Q13. Are you obese?

    Yes No



14. Q14. What's your employment status?

    I'm unemployed I work part time or could adapt my hours to fit around a child's needs I'm on my own and work full time My partner and I both work



15. Q15. How well do you manage your income?

    I struggle to manage my finances I usually end up overdrawn or owing money Without difficulty - I manage to pay the bills



16. Q16. What are your religious beliefs?

    I don't have any I'm a follower of a particular religion



17. Q17. Does anyone in your household have a criminal record?

    Yes, but it was a minor offence and it happened a long time ago Yes, from quite recently No