Email this sample to a friend

Hennepin County Adoption Project

University of Minnesota School of Social Work

Readiness to Adopt Self-Survey (RASS)

Jane F. Gilgun, Ph.D., LICSW

Susan Keskinen, M.S.W.

This survey will help you to prepare for the adoption of children with special needs. Children with special needs have experienced adversities, such as abuse, neglect, and abandonment, or may have neurological, psychological, and behavioral issues that require special care. Your answers will show you where you have strengths as a parent and where you have room for improvement.

Be as honest as you can as you complete the survey; no one but you will know your answers. Fill out the survey on your own. If you have a partner, your partner should fill out his or her own survey, too. The survey is designed for partners to talk to each other about their answers to the survey questions.

Adoption professionals at the agencies where you are applying to adopt children may talk to you about some of the issues that this survey raises.  The survey has six parts. Fill out as many or as few of these parts as you want at one time. When you believe some items don’t apply to you, please feel free to skip them.

Previous Page Next Page Page 1 of 16