Child Custody Questionnaire Template
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7CHILD CUSTODY QUESTIONNAIRE
1.
Initial considerations.
a.
Is reconciliation a possibility?
b.
Do you think mediation/conciliation services can help you and your spouse
resolve the problems of parental responsibility and/or visitation?
2.
Discussion as to joint custody (joint versus physical).
a.
Do you believe the child's physical residence should be shared? What percentage
for mother? What percentage for father?
b.
Do you believe that parental responsibility of your minor child should be shared
in all areas except physical residence?
c.
Do you feel you and your spouse are able to cooperate and generally agree
concerning important decision affecting the welfare of the child?
d.
Some of the categories of "shared parental responsibility" are:
i.
education
ii.
religious training
iii.
discipline
iv.
moral values
v.
medical and dental
vi.
psychological or psychiatric care
vii.
social activities
viii.
extra-curricular activities
ix.
recreational activities
x.
legal care
xi.
financial involvement
xii.
if you feel there are other areas, please list them.
How do you feel with respect to those specific areas? Do you feel
responsibility can be shared in all areas or shared only in some of those areas?
Please state your answer and the degree of responsibility you and your spouse
should have?
e.
Please indicate if shared responsibility would be beneficial or detrimental to the
child.
f.
If the court decides that parental responsibility should be shared and thereafter
you and your spouse should disagree as to certain things, do you think
mediation/conciliation could help resolve the differences? If not, can you
suggest how disagreements might be resolved?
g.
Do you think it would be beneficial to try shared parental responsibility in all or
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