* Indicates required questions.

0%

1. How old were you at the time placement? *

0 - 1 years old
2 - 5
6 - 11
12 - 17
Older than 17

2. How old are you now? *

18 - 25
26 - 35
36 - 45
46 - 55
56 or older

3. What is your highest level of education? *

High School
Some College
Bachelor's Degree
Master's Degree
Doctorate

4. What is your annual household salary? *

Less than $25,000
$25,001 - $50,000
$50,001 - $75,000
$75,001 - $100,000
More than $100,000

5. What best describes your situation? I was adopted by... *

A family member
A family friend
A previously unknown family

6. My adoption was a... *

Domestic adoption
International adoption
Adoption from the state

7. What level of communication do you have in the adoption? *

None
Very little
Some
A lot

8. If part of a closed adoption, what best describes your situation? *

I am actively searching
I am making myself available
I am open to reunion
I don't wish to be found
We have reunited

9. Would you consider adopting yourself? *

Yes
No
Not sure

10. Do you feel that you should have access to your original birth certificate? *

Yes
No
Not sure