EXPECTANT MOTHER QUESTIONNAIRE

“I look forward to being a mom, I am just not ready right now!” 

IS ADOPTION MY BEST OPTION?

When you answer these questions, please base your responses on honest facts and not on emotions and on what is in the best interest for you and the child.

1. When I think of my future, what would I like to see?

2.  How would I take care of a child and maintain my job and/or school – at the same time?

3. Have I ever experienced balancing a job, school and raising a child?

4. Am I prepared to surrender the freedom to do what I want to do when I want to do it?

5. What would be an example of something I would be giving up if I choose to raise my child?

6. Do I understand the sacrifices that would be made on my social life if I decide to raise a child? Am I prepared to make these changes?

7. Would I miss my free time and privacy?

8. Do I make enough money to allow me to raise a baby the way I would like?

9. Do I want to raise a child in the community where I currently reside?

10.  Would raising a child interfere with my own growth and development?

11.  Would parenting change my educational or vocational plans? Why or why not?

12.  Do I like activities with children? 

13. Do I enjoy the same activities children enjoy?

14. Do I believe a child can make me “happy”?

15.  Am I a patient person? Could I deal with the noise or sounds, emotional and physical hurdles, and 24 hours a day responsibility of raising a child?

16.  What kind of time do I need for myself?

17.  How do I handle my anger today?  Do I get upset easily?

18.  What sort of discipline would I use?

19.  Do I have a positive relationship with my parents today?

20.  What will I do to prevent the mistakes I feel my parents made in raising me?

21.  What sort of plan do I have to take care of my child’s health care needs?

 22.  Do I have a way to get to my child’s medical or dental appointments?

23.  Do I have a good daycare if I am going to work?  What do they charge per month?

24.  Would I need to accept food stamps, WIC, Medicaid in order to care for my child?

25.  Do I want/can I tolerate a life long tie to the birthfather/birthmother of my child?

26. Will I allow or want him to be involved with raising the child?

27. What are five goals you’d like to do in the next year?

 

1.  __________________________________

 

2. __________________________________

 

3. __________________________________

 

4. __________________________________

 

5. __________________________________

27.  Does knowing that adoption is a gift that will actually “create” a family, make a difference on how you view adoption? One in four couples have problems getting pregnant, and adoption is the option they turn to most to fulfill their dream of becoming a family.

The chart below to help determine if you can financially care for a baby. The intention is to give you a rough estimate of the cost of raising a child in relation to your income.

 

AMOUNT/MONTH ($)

INCOME

Work

 

Child Support (if applicable)

 

State/Government Support (if applicable)

 

Other:

 

TOTAL AMOUNT OF INCOME =

 

EXPENSES

Child Care (if applicable)

 

Health-Care Insurance (Private)

 

Rent/Mortgage

 

Telephone

Home

Cellular

 

Utilities

Electric

Natural Gas

Water/Sewer

Other

 

Groceries

 

Household Supplies

 

Personal Hygiene

 

Clothes

 

Transportation (Gasoline or Public)

 

Car

 

Car Insurance

 

Cable/Satellite

 

Internet Connection

 

Credit Card(s) Debt

 

Other:

 

Other:

 

TOTAL AMOUNT OF EXPENSES =

 

 

TOTAL AMOUNT REMAINING =

 

“My Counselor here was amazing with me throughout my entire pregnancy & adoption process. As a birth mother, I needed the loving support of a friend. She gave that to me in spades, plus so much more! Andrea helped me to find the perfect parents for my baby boy. She prayed for & with me to find peace & joy in my decision. Seven years later (wow, it’s been over 7 years), she is an incredible woman & still someone I consider a true friend. I have tried to send other women in need to her, & I, myself, would go to Andrea again in a heartbeat should I find myself in a situation that adoption was needed &/or desired! ❤

Thank you for helping me to find my son a family, for helping me give William the life he so deserves!”

 Davina / Birth Mother 

Expecting Mothers can email Joy at Joy@TexasChristianAdoptions.com or call 817-491-2367

Adoptive Families can email Andrea at Andrea@TexasChristianAdoptions.com or call 214-663-6323

Send Us a Message

Office Address

1500 Corporate Circle

Suite #11

Southlake, TX 76092

Mailing Address (PO Box)

401 N. Carroll Avenue

Box #201

Southlake, TX 76092

Main: 817-491-2367

Cell: 214-663-6323

Fax: ‭214-602-7770

andrea@texaschristianadoptions.com

joy@texaschristianadoptions.com