child Custody Fact Finding worksheet

7/24/2019 child Custody Fact Finding worksheet

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CHILD CUSTODY QUESTIONAIRE / INTERROGATORIES

BRIEF BACKGROUND AND HISTORY

1. When did you meet the othe !"ty in thi# m"tte$

Wh"t %"# the &en'th o( you )out#hi!$

When did you m"y* +e'in &i,in' to'ethe o )ommen)e " #e-u"& e&"tion#hi! %ith thi#!e#on$

Wh"t %ee the )i)um#t"n)e# #uoundin' the m"i"'ee&"tion#hi!$

Wh"t "tt")ted you to himhe$

The "'e o( the !"tie# "t the time o( the )ommen)ement o( thi# e&"tion#hi!/

0"n/ Wom"n/

De#)i+e you ("mi&y hi#toy/ 2you mothe* ("the* #i+&in'#* "&)oho&i#m o du' u#"'e* "+u#e*#t"#* +&")3 #hee!4

De#)i+e the ("mi&y hi#toy o( you 2(ome4 m"te/

Ho% did the )hi&den )ome "+out$ 2!&"nned* un!&"nned* et).4

Chi&den5# n"me# "nd +ith d"te#/ 2N"me#* Bith d"te#* G"de#* S)hoo&te")he5# n"me#4

Chi&den o( !io m"i"'e#e&"tion#hi!#/ 2N"me#* A'e#* %ith %hom doe# the )hi&d2en4

e#ide4 0"n/ Wom"n/

De#)i+e the deteio"tion o( the e&"tion#hi!/

0ARITA6COHABITATION HISTORY

1. D"te o( m"i"'e 2o )ommen)ement o( the #e-u"& e&"tion#hi! o )oh"+it"tion* d"te

o( #e!""tiondi,o)e4.

7. Who &e(t the m"it"& home$ 2)i)&e one4 0"n Wom"n

8. Who h"d the )hi&den "t the time o( #e!""tion$ 2)i)&e one4 0"n Wom"n

9. Who (i&ed (o di,o)e "nd %hen$

:. I( thi# i# " !"tenity)u#tody ")tion* !&e"#e !o,ide the "!!o!i"te hi#toy 2#uit (i&ed*

+&ood te#t#* "nd ")3no%&ed'ment o( !"tenity4

;. Wee thee othe 3no%n e&"tion#hi!# "t the time o( the di,o)e#e!""tion$ 0"n/

Wom"n/


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1?. Do you h",e " hi#toy o( "&)ohou+#t"n)e "+u#e o in)ident# o( #!ou#"&

"+u#e#t"&3in'* !hone h""##ment )h"'e#$ Ye# No

I( ye#* &i#t the d"te# o( "e#t2#4* #enten)e2#4 "nd te"tment2#4/ 2d"te# )h"'ed* #enten)e#*

ty!e# !&")e# o( te"tment* d"te# )om!&eted4

7. &e"#e !o,ide "ny othe !etinent in(om"tion "# to the !e,iou# ue#tion 2!o,ide

)o!ie# o( !o&i)e e!ot#* i( !o##i+&e4

71. Doe# you 2(ome4 #!ou#em"te h",e " hi#toy o( "&)ohou+#t"n)e "+u#e o

in)ident# o( #!ou#"& "+u#e#t"&3in'* !hone h""##ment )h"'e#$ Ye# No

I( ye#* &i#t the d"te# o( "e#t2#4* #enten)e2#4 "nd te"tment2#4/ 2d"te# )h"'ed* #enten)e#*

ty!e#!&")e# o( te"tment* d"te# )om!&eted4

77. &e"#e !o,ide "ny othe !etinent in(om"tion "# to the "+o,e ue#tion 2!o,ide

)o!ie# o( !o&i)e e!ot#* I( !o##i+&e4

H",e you e,e +een in,o&,ed in )oun#e&in'$ I( #o* %hen* %hee* %hy "nd %ith %hom$ 6i#t

the )oun#e&o5# n"me* "'en)y "nd "dde##/

78. H"# you 2(ome4 #!ou#em"te e,e +een in,o&,ed in )oun#e&in'$ I( #o* %hen*

%hee* %hy "nd %ith %hom$ 6i#t the )oun#e&o5# n"me* "'en)y "nd "dde##/

79. H",e "ny o( the )hi&den e,en +een in,o&,ed in )oun#e&in'$

I( #o* %hen* %hee* %hy "nd %ith %hom$

6i#t the )oun#e&o5# n"me* "'en)y "nd "dde##/

7:. Do you (ee& th"t you h",e emotion"& !o+&em#$&e"#e de#)i+e.

7;. Do you (ee& th"t you 2(ome4 #!ou#e h"# emotion"& !o+&em#$

&e"#e de#)i+e.

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7?. &e"#e &i#t e")h )hi&d &i,in' in the home 2note thei e&"tion#hi! to you4 "nd +ie(&y

de#)i+e/

". The !e#on"&ity o( e")h )hi&d.

+. The #)hoo& ")ti,itie# "nd intee#t# o( e")h )hi&d.

8. Do "ny o( the )hi&den h",e #!e)i"& edu)"tion"& o emotion"& need#* th"t i#* h",e

they +een !&")ed in " !o'"m thou'h the #)hoo to e)ei,e #!e)i"& #e,i)e#$

I( #o* de#)i+e the di#"+i&ity "nd the &en'th o( time they h",e e)ei,ed #e,i)e#. I( !o##i+&e*

!o,ide the n"me "nd "dde## 2#)hoo&4 o( the !e#on !o,idin' the #e,i)e o the n"me o(

the #)hoo& )oun#e&o o "dmini#t"to

81. Ho% h",e you !"ti)i!"ted in the edu)"tion"& de,e&o!ment o( you )hi&d #in)e the

#e!""tion "nd ud'ment o( di,o)e$

2&e"#e +e #!e)i(i)4

87. Wou&d thee +e " #i'ni(i)"nt di((een)e in the edu)"tion o!!otunitie# o((eed +y

eithe !"ent$

I( #o* de#)i+e %ith #!e)i(i)#.

88. Do "ny o( the Chi&den h",e !hy#i)"& he"&th !o+&em#$

I( #o* de#)i+e.

89. Ho% do you di#)i!&ine you )hi&den$

Wh"t method# do you u#e$

Ae they e((e)ti,e$

8:. Ho% doe# you 2(ome4 #!ou#em"te di#)i!&ine you )hi&den$

Wh"t method# doe# he#he u#e$

Ae they e((e)ti,e$

8;. 6i#t e")h )hi&d indi,idu"&&y "nd &i#t the mo#t di((i)u&t +eh",io (o you to h"nd&e$

8. Wh"t "e you #ten'th# "# they !et"in to the )hi&den$

8?. I# the )hi&den5# medi)"& )"e )uent$ Ye# NoI( no* !&e"#e e-!&"in.

9. Doe# eithe !"ent o+e)t to medi)"& )"e in 'ene"&$

91. Whi)h !"ent h"# +een mo#t in,o&,ed in o+t"inin' medi)"& )"e (o the )hi&den$


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97. H"# thee e,e +een "ny )om!&"int e'i#teed th"t the )hi&den h",e no t e)ei,ed

the ne)e##"y o needed medi)"& )"e$ Ye# No

I( ye#* !&e"#e e-!&"in/

98. H"# )hi&d !ote)ti,e #e,i)e# e,e +een )ont")ted e'"din' the )"e)onto& o( you

)hi&den$ Ye# No

I( ye#* de#)i+e %hen* %ho "nd %hy "nd the di#!o#ition o( e")h in)ident$

99. Wh"t i# the mo#t e%"din' thin' (o you "# " !"ent in !"entin' e")h )hi&d$

9:. In you o!inion* %h"t "e the mo#t im!ot"nt &e##on# you %"nt you )hi&den to &e"n

in &i(e$

Ho% "e you te")hin' them thi# &e##on$

9;. &e"#e de#)i+e you )hi&d)"e !&"n o !o!o#ed )hi&d)"e !&"n* In)&ude the n"me

"nd "dde## o( the +"+y@#itte o d"y )"e )ente.

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;. Do the )hi&den demon#t"te "ny )on(&i)t# o( &oy"&ty %hen %ith one !"ent$

;1. Ho% doe# e")h !"ent demon#t"te thei &o,e "nd "((e)tion (o the )hi&den "nd ho%

)on#i#tent i# it$

;7. H"# eithe !"ent +een "+u#i,e to the )hi&den$ In %h"t %"y#$

;8. Wh"t i# the )uent en,ionment %ith e'"d to hou#in'* &o)"tion* )&e"n&ine##*

hou#eho&d (uni#hin'#* !&"y "e"* et).$

;9. Wh"t i# the !o !o#ed en,ionment$

;:. Ae thee in(&uen)e# in eithe home th"t mi'ht indu)e de&inuent o )imin"&

"##o)i"tion#$ I( #o* !&e"#e e-!&"in.

;;. H"# the othe !"ent "ttem!ted to emo,e o de#toy the e&"tion#hi! +et%een the

)hi&den "nd you$ I( #o* !&e"#e e-!&"in.

&e"#e !o,ide "ny othe in(om"tion !et"inin' to you* the )hi&d5# othe !"ent* "nd the othe

)hi&den in the ("mi&yhome th"t m"y h",e "n im!")t on thi# )"#e. O( 'e"t intee#t to the )out#

in i# the detemin"tion o( the !im"y !"ent. The (o&&o%in' i# the 0i)hi'"n Chi&d Cu#tody A)t

20C 6A


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;. The mo"& (itne## o( the !"tie# in,o&,ed.

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child Custody Fact Finding worksheet