Child Custody Questionnaire Template Page 4
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7iv.
Who sleeps where in each home?
v.
What is the address of the custodial home, length of time in this
home, and who all lives there?
vi.
Give an explanation of residential changes, if any?
vii.
How has the child adjusted to changes of residences?
viii.
Is the current home environment safe/stable for the child?
ix.
Is the proposed home environment safe/stable for the child?
x.
Which home will provide the child with the most love, affection,
guidance, moral and spiritual training, educational and fulfillment
opportunities?
xi.
Where do the child's friends and relatives reside?
(5)
The permanence, as a family unit, of the existing or proposed custodial
home or homes.
i.
What is the child's relationship to other siblings?
ii.
What is the child's relationship with the parents?
iii.
How do you think the child perceives the family unit?
iv.
What future home is proposed by the petitioning party, and what
future relationship would that involve?
v.
Do you have any immediate prospects of remarriage or a
continuing relationship with a person who will be significant in the
life of the child? If so, describe that person's relationship with the
child and how this relationship may effect the factors in the Child
Custody Act.
(6)
The moral fitness of the parties involved.
i.
Has there been any drug and/or alcohol involvement by either
party or step-parents? If so, how much?
ii.
If so, what treatment has been sought and what has that
individual's response been to the treatment?
iii.
Are there any romantic liaisons by either party?
iv.
What has the effect of said liaisons been on the child?
v.
Is foul language used by either party in front of the child?
vi.
What has the effect of said language been on the child?
vii.
What do you see as your strengths and weaknesses or your moral
belief? And to the other party's?
viii.
Have there been any allegations of physical or sexual abuse of this
or any other children by any party to this action.
502 Railroad Avenue, P.O. Box 5263, Traverse City, MI 49696
Tel: 231-929-7744
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Fax: 231-929-7766
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