1. How old is your child/are your children? Please indicate whether adopted, placed but not yet adopted, or biologically yours.

1.1.a. oldest child-age

1.1.b. oldest child

1.2.a. next oldest child-age

1.2.b. next oldest child

1.3.a. next oldest child-age

1.3.b. next oldest child

1.4.a. next oldest child-age

1.4.b. next oldest child

2) How old was your child/were your children when adopted?

2.1.a. oldest adopted child-age

2.2.a. next oldest adopted child-age

2.3.a. next oldest adopted child-age

2.4.a. next oldest adopted child-age

3. What were the reasons that the child was removed from the birth family (if known)?

4. How many fostered or adoptive placements did your child have before you adopted him/her (if known)?

4.1.a. fostered-number of placements

4.2.a. adoptive-number of placements

5. How far away was your child’s birth family from you, at the time of adoption?

6. How is/was your child educated?

6.1.a. mainstream state school, academy, free school, college or similar-age

6.2.a. special needs or behaviour specialist state school-age

6.3.a. independent school-age

6.4.a. home schooled-age

6.5.a. other-age

7. Did your child come to live with you within the last four years?

8. What issues are a significant problem for your child?

8.1.a. Identity and self-esteem—At what age have these been significant? (you can tick more than one)

8.2.a. Self-confidence—At what age have these been significant? (you can tick more than one)

8.3.a. Anxiety and fear—At what age have these been significant? (you can tick more than one)

8.4.a. Anger and anger management—At what age have these been significant? (you can tick more than one)

8.5.a. Depression and mental ill health—At what age have these been significant? (you can tick more than one)

8.6.a. Emotional literacy and control—At what age have these been significant? (you can tick more than one)

8.7.a. Trust—At what age have these been significant? (you can tick more than one)

8.8.a. Coping with school—At what age have these been significant? (you can tick more than one)

8.9.a. Hypervigilance and/or need for reassurance—At what age have these been significant? (you can tick more than one)

8.10.a. Friendship and relationship management—At what age have these been significant? (you can tick more than one)

8.11.a. Developmental delay—At what age have these been significant? (you can tick more than one)

9. What behaviours are a significant problem for your child?

9.1.a. Angry outbursts or meltdowns, or difficulty expressing angry feelings—At what age have these been significant? (you can tick more than one)

9.2.a. Aggression—At what age have these been significant? (you can tick more than one)

9.3.a. Sexualised behaviour—At what age have these been significant? (you can tick more than one)

9.4.a. Running away—At what age have these been significant? (you can tick more than one)

9.5.a. Conflict with siblings—At what age have these been significant? (you can tick more than one)

9.6.a. Food hoarding—At what age have these been significant? (you can tick more than one)

9.7.a. Lying/denying—At what age have these been significant? (you can tick more than one)

9.8.a. Stealing—At what age have these been significant? (you can tick more than one)

9.9.a. Regression—At what age have these been significant? (you can tick more than one)

9.10.a. Acting out their early life experiences—At what age have these been significant? (you can tick more than one)

9.11.a. School concerns about academic progress—At what age have these been significant? (you can tick more than one)

9.12.a. Your concerns about academic progress—At what age have these been significant? (you can tick more than one)

9.13.a. School concerns about behaviour—At what age have these been significant? (you can tick more than one)

9.14.a. Problems regulating behaviour at school—At what age have these been significant? (you can tick more than one)

9.a. Please add any further comments about your child's behaviour that you wish to include

10. Do you have any more adopted/placed children? If so, did they come to live with you within the last four years?

11. What issues are a significant problem for your child?

11.1.a. Identity and self-esteem—At what age have these been significant? (you can tick more than one)

11.2.a. Self-confidence—At what age have these been significant? (you can tick more than one)

11.3.a. Anxiety and fear—At what age have these been significant? (you can tick more than one)

11.4.a. Depression and mental ill health—At what age have these been significant? (you can tick more than one)

11.5.a. Emotional literacy and control—At what age have these been significant? (you can tick more than one)

11.6.a. Trust—At what age have these been significant? (you can tick more than one)

11.7.a. Coping with school—At what age have these been significant? (you can tick more than one)

11.8.a. Hypervigilance and/or need for reassurance—At what age have these been significant? (you can tick more than one)

11.9.a. Friendship and relationship management—At what age have these been significant? (you can tick more than one)

11.10.a. Developmental delay—At what age have these been significant? (you can tick more than one)

12. What behaviours are a significant problem for your child?

12.1.a. Angry outbursts, meltdowns or difficulty expressing angry feelings—At what age have these been significant? (you can tick more than one)

12.2.a. Aggression—At what age have these been significant? (you can tick more than one)

12.3.a. Violence towards parents—At what age have these been significant? (you can tick more than one)

12.4.a. Sexualised behaviour—At what age have these been significant? (you can tick more than one)

12.5.a. Crime or risky behaviour—At what age have these been significant? (you can tick more than one)

12.6.a. Running away—At what age have these been significant? (you can tick more than one)

12.7.a. Substance abuse—At what age have these been significant? (you can tick more than one)

12.8.a. Food or food hoarding—At what age have these been significant? (you can tick more than one)

12.9.a. Behaviour regulation—At what age have these been significant? (you can tick more than one)

12.10.a. Makes potentially unfounded accusations of abuse—At what age have these been significant? (you can tick more than one)

12.11.a. Conflict with siblings—At what age have these been significant? (you can tick more than one)

12.12.a. Regression—At what age have these been significant? (you can tick more than one)

12.13.a. Lying/denying—At what age have these been significant? (you can tick more than one)

12.14.a. Stealing—At what age have these been significant? (you can tick more than one)

12.15.a. Acting out their early life experiences—At what age have these been significant? (you can tick more than one)

12.16.a. School concerns about academic progress—At what age have these been significant? (you can tick more than one)

12.17.a. Your concerns about academic progress—At what age have these been significant? (you can tick more than one)

12.18.a. School concerns about behaviour—At what age have these been significant? (you can tick more than one)

12.19.a. Problems regulating behaviour at school—At what age have these been significant? (you can tick more than one)

12.a. Please add any further comments about your child's behaviour that you wish to include

13. Do you have any more adopted/placed children? If so, did they come to live with you within the last four years?

14. What issues are a significant problem for your child?

14.1.a. Identity and self-esteem—At what age have these been significant? (you can tick more than one)

14.2.a. Self-confidence—At what age have these been significant? (you can tick more than one)

14.3.a. Anxiety and fear—At what age have these been significant? (you can tick more than one)

14.4.a. Anger and anger management—At what age have these been significant? (you can tick more than one)

14.5.a. Depression and mental ill health—At what age have these been significant? (you can tick more than one)

14.6.a. Emotional literacy and control—At what age have these been significant? (you can tick more than one)

14.7.a. Trust—At what age have these been significant? (you can tick more than one)

14.8.a. Coping with school—At what age have these been significant? (you can tick more than one)

14.9.a. Hypervigilance and/or need for reassurance—At what age have these been significant? (you can tick more than one)

14.10.a. Friendship and relationship management—At what age have these been significant? (you can tick more than one)

14.11.a. Developmental delay—At what age have these been significant? (you can tick more than one)

15. What behaviours are a significant problem for your child?

15.1.a. Angry outbursts or meltdowns, or difficulty expressing angry feelings—At what age have these been significant? (you can tick more than one)

15.2.a. Aggression—At what age have these been significant? (you can tick more than one)

15.3.a. Sexualised behaviour—At what age have these been significant? (you can tick more than one)

15.4.a. Running away—At what age have these been significant? (you can tick more than one)

15.5.a. Conflict with siblings—At what age have these been significant? (you can tick more than one)

15.6.a. Food hoarding—At what age have these been significant? (you can tick more than one)

15.7.a. Lying/denying—At what age have these been significant? (you can tick more than one)

15.8.a. Stealing—At what age have these been significant? (you can tick more than one)

15.9.a. Regression—At what age have these been significant? (you can tick more than one)

15.10.a. Acting out their early life experiences—At what age have these been significant? (you can tick more than one)

15.11.a. School concerns about academic progress—At what age have these been significant? (you can tick more than one)

15.12.a. Your concerns about academic progress—At what age have these been significant? (you can tick more than one)

15.13.a. School concerns about behaviour—At what age have these been significant? (you can tick more than one)

15.14.a. Problems regulating behaviour at school—At what age have these been significant? (you can tick more than one)

15.a. Please add any further comments about your child’s behaviour that you wish to include

16. What issues are a significant problem for your child?

16.1.a. Identity and self-esteem—At what age have these been significant? (you can tick more than one)

16.2.a. Self-confidence—At what age have these been significant? (you can tick more than one)

16.3.a. Anxiety and fear—At what age have these been significant? (you can tick more than one)

16.4.a. Depression and mental ill health—At what age have these been significant? (you can tick more than one)

16.5.a. Emotional literacy and control—At what age have these been significant? (you can tick more than one)

16.6.a. Trust—At what age have these been significant? (you can tick more than one)

16.7.a. Coping with school—At what age have these been significant? (you can tick more than one)

16.8.a. Hypervigilance and/or need for reassurance—At what age have these been significant? (you can tick more than one)

16.9.a. Friendship and relationship management—At what age have these been significant? (you can tick more than one)

16.10.a. Developmental delay—At what age have these been significant? (you can tick more than one)

17. What behaviours are a significant problem for your child?

17.1.a. Angry outbursts, meltdowns or difficulty expressing angry feelings—At what age have these been significant? (you can tick more than one)

17.2.a. Aggression—At what age have these been significant? (you can tick more than one)

17.3.a. Violence towards parents—At what age have these been significant? (you can tick more than one)

17.4.a. Sexualised behaviour—At what age have these been significant? (you can tick more than one)

17.5.a. Crime or risky behaviour—At what age have these been significant? (you can tick more than one)

17.6.a. Running away—At what age have these been significant? (you can tick more than one)

17.7.a. Substance abuse—At what age have these been significant? (you can tick more than one)

17.8.a. Food or food hoarding—At what age have these been significant? (you can tick more than one)

17.9.a. Behaviour regulation—At what age have these been significant? (you can tick more than one)

17.10.a. Makes potentially unfounded accusations of abuse—At what age have these been significant? (you can tick more than one)

17.11.a. Conflict with siblings—At what age have these been significant? (you can tick more than one)

17.12.a. Regression—At what age have these been significant? (you can tick more than one)

17.13.a. Lying/denying—At what age have these been significant? (you can tick more than one)

17.14.a. Stealing—At what age have these been significant? (you can tick more than one)

17.15.a. Acting out their early life experiences—At what age have these been significant? (you can tick more than one)

17.16.a. School concerns about academic progress—At what age have these been significant? (you can tick more than one)

17.17.a. Your concerns about academic progress—At what age have these been significant? (you can tick more than one)

17.18.a. School concerns about behaviour—At what age have these been significant? (you can tick more than one)

17.19.a. Problems regulating behaviour at school—At what age have these been significant? (you can tick more than one)

17.a. Please add any further comments about your child's behaviour that you wish to include

18. Please tick any services that you have used (you can tick more than one)

18.a. If you selected Other, please specify:

19. Please tick any of the following types of informal support that you were able to call on at the time of asking for Adopter Champion support (you can tick more than one)

19.1.a. immediate or extended family

19.2.a. friends (possibly non-adopting)

19.3.a. other adopting parents

20. Have you used the Hub on the PACT website?

21. If you rarely or never use the hub, why not?

22. At what age was your child when you first asked for support from the Strengthening Families team?

23. Why did you seek support from the Strengthening Families team?

23.1.a. Help with life-story work and therapeutic support of adopted child—How often did you ask for support for this purpose?

23.2.a. Information about adopting process, expectations etc.—How often did you ask for support for this purpose?

23.3.a. Information about diagnosis of child's needs—How often did you ask for support for this purpose?

23.4.a. Advice on understanding child's behaviour, including signposting to resources—How often did you ask for support for this purpose?

23.5.a. Support with parenting techniques, boundary-setting, communication etc.—How often did you ask for support for this purpose?

23.6.a. Empathy and peer support—How often did you ask for support for this purpose?

23.7.a. Advice on parental coping strategies—self-care, marital strains, shame etc.—How often did you ask for support for this purpose?

23.8.a. Help with dealing with school, SENCo, EHCP etc regarding child's behaviour or emotional literacy—How often did you ask for support for this purpose?

23.9.a. Help with dealing with school, SENCo, EHCP etc regarding home education—How often did you ask for support for this purpose?

23.10.a. Help from PACT education specialist—How often did you ask for support for this purpose?

23.11.a. Help requesting professional intervention eg accessing therapy, liaising with local authority social services, interpreting child’s behaviour—How often did you ask for support for this purpose?

23.a. Please add any further comments about why you asked for support that you wish to

24. About which issues did you receive support from the Adopter Champions service?

24.a. If you selected Other, please specify:

25. What were the benefits of using the Adopter Champions service?

25.1.a. I felt emotionally supported

25.2.a. It made a difference to my child

25.3.a. I learned useful information eg about available help, the adoption support fund, DLA applications, my rights etc

25.4.a. I felt empowered in dealing with third parties

25.a. Please add any further comments on the benefits of using the Adopter Champions service that you wish to

25.b. I am happy with my overall experience of the Adopter Champion service

25.b.i. Please explain your answer

26. How has the experience of adoption affected you?

26.1.a. I have found it rewarding and positive, even when there are difficult times

26.2.a. It has made me a better person

26.3.a. I have had to change my expectations of acceptable behaviour

26.4.a. I have had to change the culture and norms of family life

26.5.a. My PACT training prepared me for the reality of adoption

26.6.a. It has strained the relationship between myself and my partner

27. In an ideal world, what kind of support would you like?

27.1.a. Individual face to face—Rate these options with 1 being your first choice and 5 being your last (do not give a number if you would not want an option)

27.2.a. Part of a group face to face—Rate these options with 1 being your first choice and 5 being your last (do not give a number if you would not want an option)

27.3.a. Telephone—Rate these options with 1 being your first choice and 5 being your last (do not give a number if you would not want an option)

27.4.a. Video call—Rate these options with 1 being your first choice and 5 being your last (do not give a number if you would not want an option)

27.5.a. Email—Rate these options with 1 being your first choice and 5 being your last (do not give a number if you would not want an option)

27.a. How frequently would you like to access this support?

27.a.1.a. Individual face to face—Tick how frequently you would like to have this support

27.a.2.a. Part of a group face to face—Tick how frequently you would like to have this support

27.a.3.a. Telephone—Tick how frequently you would like to have this support

27.a.4.a. Video call—Tick how frequently you would like to have this support

27.a.5.a. Email—Tick how frequently you would like to have this support

27.a.i. How long would you want this support to be made available?

28. What else should we have asked you about?