SAFE Questionnaire Couple

Cheryl, Dane County

What a difference this little girl has made in our lives. We feel truly blessed to have her in our family.

Home / SAFE Questionnaire Couple

SAFE Questionnaire Couple

Both of you will complete and submit a questionnaire. 

  • Please answer the following questions as they apply to you. Some questions may have multiple answers; please check all choices that apply.
  • You may add additional comments on the form. You will have an opportunity to discuss your responses with the home study practitioner.

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