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Social Investigation Parent Questionnaire

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Submitted on Aug 30, 2026 at 3:47 PM

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Social Investigation Parent Questionnaire

Instructions

This questionnaire is part of a court-related Social Investigation. Complete it personally, thoroughly, and truthfully. Do not allow another person to answer on your behalf. Attach additional pages when necessary and clearly label each attachment by section number.

Because a separate Child History Questionnaire will be completed, this form asks only limited child-specific background questions and focuses primarily on the parent, household, parenting history, safety issues, litigation issues, and proposed parenting plan.

I have answered these questions truthfully and to the best of my ability.^*

I will supplement my answers if I later learn information is incomplete or inaccurate.^*

I understand that false, incomplete, or misleading answers may be considered by the evaluator and the Court.^*

I understand the evaluator may compare my answers with records, interviews, collateral information, and other evidence.^*

SECTION 1 - CASE INFORMATION

Case name/style^*

Case number^*

County and state^*

Judge^*

Date questionnaire completed^*

Your attorney's name, firm, phone, and email^*

Other parent/litigant name^*

Other parent attorney name, firm, phone, and email^*

Who requested the Social Investigation?^*

Mother

Father

Both parents

Court/Judge

Guardian ad Litem

Attorney for Mother

Attorney for Father

Other

Why was the Social Investigation requested?^*

Briefly summarize what you believe the Court needs to decide.^*

SECTION 2 - YOUR CONTACT AND BACKGROUND INFORMATION

Full legal name^*

Date of birth^*

Place of birth^*

Preferred phone^*

Email^*

Current address^*

City/State/Zip^*

Date moved in^*

Rent/Own/Other^*

County^*

Employer, occupation, work location, and usual work schedule^*

Highest level of education completed, degrees/certificates, and schools attended^*

Current relationship status^*

Single

Married

Separated

Divorced

Engaged

Dating

Cohabitating

Other

SECTION 3 - CHILDREN INVOLVED IN THIS SOCIAL INVESTIGATION

Child Information^*

A separate Child History Questionnaire will request more detailed child-specific information. Provide only basic identifying information here.

List any children not involved in this Social Investigation, including adult children, stepchildren, or children from other relationships^*

SECTION 4 - RELATIONSHIP AND SEPARATION HISTORY (with coparent)

Relationship Timeline^*

When and how did you meet the other parent?^*

When did the relationship become serious or committed?^*

If you married, when and where did you marry?^*

When did you separate for the final time?^*

Who initiated the separation/divorce/end of relationship?^*

What factors contributed most to the end of the relationship?^*

What efforts, if any, were made to preserve or repair the relationship, including counseling?^*

Why have you and the other parent been unable to resolve the parenting plan/time-sharing issues?^*

SECTION 5 - RESIDENTIAL HISTORY

A. Residences Shared with the Other Parent^*

List every place you lived together with the other parent. Include approximate dates if exact dates are unavailable.

B. Residences Separate from the Other Parent After Separation^*

List every place you lived after separation, even temporary residences.

Do you anticipate moving within the next 6 months, 1 year, or 5 years?^*

Yes

Unsure/Unknown

Do you believe the other parent anticipates moving within the next 6 months, 1 year, or 5 years?^*

Yes

Unsure/Unknown

SECTION 6 - CURRENT HOUSEHOLD AND SIGNIFICANT RELATIONSHIPS

A. Current Household Members^*

B. Current Partner/New Spouse^*

When and how was your current partner/new spouse introduced to the child(ren)?^*

Describe the child(ren)'s relationship with your current partner/new spouse^*

Has any child expressed concerns about your current partner/new spouse?^*

Yes

Unsure/Unknown

Has your current partner/new spouse been involved in any conflict with the other parent?^*

Yes

Unsure/Unknown

C. Current Partner/New Spouse Children^*

List all biological, adopted, step, or other children of your current partner/new spouse, regardless of whether they live with you.

Have there been conflicts between your child(ren) and your partner/new spouse's children?^*

Yes

Unsure/Unknown

SECTION 7 - PARENTING HISTORY AND RESPONSIBILITIES

A. Parenting Responsibilities Before Separation^*

B. Parenting Responsibilities Since Separation^*

Describe a typical school-day routine when the child(ren) are with you^*

Describe a typical weekend routine when the child(ren) are with you^*

Describe your approach to discipline, limits, consequences, and rewards^*

What do you believe are your strongest parenting abilities?^*

What parenting areas do you believe you need to improve?^*

SECTION 8 - CURRENT PARENTING PLAN AND TIME-SHARING

Describe the current time-sharing schedule in detail, including overnights, exchange times, and exchange locations^*

When did this arrangement begin?^*

How was the current arrangement created?^*

Court order

Temporary agreement

Informal agreement

Mediation agreement

Attorney agreement

Unilaterally changed by one parent

Other

What is working well under the current arrangement?^*

What is not working well under the current arrangement?^*

Have there been missed visits, denied visits, late exchanges, or recurring schedule disputes?^*

Yes

Unsure/Unknown

Are there safety concerns during exchanges?^*

Yes

Unsure/Unknown

What do you want the court to order?^*

Requested Outcome^*

What parenting arrangement are you requesting?^*

What decision-making arrangement are you requesting?^*

What restrictions, if any, are you requesting?^*

What services, if any, are you requesting?^*

SECTION 9 - CO-PARENTING AND COMMUNICATION

How often do you communicate with the other parent?^*

What topics are usually discussed?^*

What topics create the most conflict?^*

Conflict Topics Rating^*

Describe the most recent significant co-parenting conflict^*

What have you done to reduce conflict with the other parent?^*

What could the other parent do differently to reduce conflict?^*

What could you do differently to reduce conflict?^*

SECTION 10 - ALLEGATIONS AND CURRENT CONCERNS

For every checked concern, provide facts, not conclusions. Include dates, locations, witnesses, records, and outcomes^*

What is your single greatest concern about the other parent?^*

What is your single greatest concern about the child(ren)'s well-being?^*

What do you believe the other parent's greatest concern is about you?^*

What do you believe the other parent's greatest concern is about the child(ren)?^*

SECTION 11 - PARENT-CHILD RELATIONSHIP, GATEKEEPING, AND ALIENATION CONCERNS

Explain all checked items^*

Explain all checked items, including who was involved and why^*

What are three positive things the other parent does well with the child(ren)?^*

What do you believe the child(ren) enjoy about spending time with the other parent?^*

SECTION 12 - CHILD EXPOSURE TO CONFLICT

Explain what the child(ren) have been exposed to and how you know^*

What steps have you taken to protect the child(ren) from adult conflict?^*

SECTION 13 - DOMESTIC VIOLENCE, COERCIVE CONTROL, AND SAFETY SCREENING

DV Incidents^*

Is there an active injunction, no-contact order, or safety plan?^*

Yes

Unsure/Unknown

Do you currently fear the other parent or anyone in the other parent's household?^*

Yes

Unsure/Unknown

Do you believe the child(ren) fear either the parent or the household?^*

Yes

Unsure/Unknown

SECTION 14 - DCF/CPS, LAW ENFORCEMENT, AND PRIOR INVESTIGATIONS

Prior DCF/CPS, Law Enforcement, and Investigations^*

Has any child been interviewed by DCF/CPS, law enforcement, CAC, GAL, therapist, or evaluator regarding allegations?^*

Yes

Unsure/Unknown

Have there been prior social investigations, custody evaluations, psychological evaluations, substance evaluations, or parenting assessments?^*

Yes

Unsure/Unknown

SECTION 15 - MENTAL HEALTH HISTORY

Describe your current mental health^*

Mental Health Treatment History^*

Are you currently in counseling, therapy, psychiatric care, coaching, or other mental health treatment?^*

Yes

Unsure/Unknown

Has any mental health condition ever affected your parenting, judgment, employment, or relationships?^*

Yes

Unsure/Unknown

SECTION 16 - SUBSTANCE USE HISTORY

Substance Use Details^*

Have you ever had a DUI, substance-related arrest, failed drug test, or substance-related employment issue?^*

Yes

Unsure/Unknown

Has anyone alleged that your substance use affects your parenting?^*

Yes

Unsure/Unknown

Do you have concerns about the other parent's substance use?^*

Yes

Unsure/Unknown

SECTION 17 - FAMILY OF ORIGIN AND DEVELOPMENTAL HISTORY

Where were you born and where were you primarily raised?^*

Who primarily raised you during childhood?^*

Both parents together

Mother primarily

Father primarily

Shared between parents

Grandparent(s)

Other relatives

Foster care

Adoptive parent(s)

Other

How would you describe your childhood overall?^*

What were the greatest strengths of your upbringing?^*

What were the greatest challenges of your upbringing?^*

Explain any checked items^*

Mother/Parent 1^*

Describe this parent's personality and parenting style^*

Describe your relationship with this parent during childhood^*

Describe your relationship with this parent now^*

How often do your child(ren) see or communicate with this person?^*

Father/Parent 2^*

Describe this parent's personality and parenting style^*

Describe your relationship with this parent during childhood^*

Describe your relationship with this parent now^*

How often do your child(ren) see or communicate with this person?^*

Siblings^*

How were disagreements handled in your family growing up?^*

How was discipline handled in your family growing up?^*

What parenting lessons from your childhood do you continue to use today?^*

What parenting practices from your childhood do you intentionally avoid?^*

What did your parents/caregivers do that helped you feel loved, secure, and connected?^*

What did your parents/caregivers do that damaged or weakened your relationship with them?^*

Family Issues^*

SECTION 18 - EDUCATION, EMPLOYMENT, AND FINANCIAL STABILITY

Education History^*

Employment History^*

Describe your current work schedule and flexibility for parenting responsibilities^*

Do you anticipate job changes, schedule changes, unemployment, or relocation?^*

Yes

Unsure/Unknown

Are there financial issues that affect housing, transportation, childcare, medical care, or activities?^*

Yes

Unsure/Unknown

Who cares for the child when you are working? Current childcare arrangements. Who supervises the child while you work?^*

How many hours per week?^*

Is the arrangement paid or unpaid?^*

How long has this arrangement existed?^*

Has the child ever stayed overnight with this caregiver?^*

SECTION 19 - LEGAL HISTORY

List any and all legal issues^*

Are there any pending legal matters not related to this family law case?^*

Yes

Unsure/Unknown

Has your driver's license ever been suspended, canceled, or revoked?^*

Yes

Unsure/Unknown

SECTION 20 - EXTENDED FAMILY, SUPPORTS, CHILDCARE, AND COMMUNITY

Extended Family and Supports^*

Describe your social support system and how they support you and/or the child(ren)^*

Describe your childcare arrangements, including babysitters, relatives, daycare, aftercare, or camps^*

Describe your home, neighborhood, community, and any safety concerns^*

Describe religious, cultural, ethnic, or community issues relevant to parenting or this dispute^*

SECTION 21 - SOCIAL MEDIA, TECHNOLOGY, AND RECORDINGS

Explain all checked items, including dates and platforms/apps used^*

List relevant communication platforms/accounts used for co-parenting or child contact^*

Social Media Accounts. Please identify all social media accounts you have used within the last five years^*

Have you posted, shared, commented upon, or discussed the other parent, the child, this litigation, a Guardian ad Litem, therapist, evaluator, social investigator, parenting coordinator, attorney, or court proceeding online?^*

Yes

If yes, kindly share the nature of your post^*

SECTION 22 - PROPOSED PARENTING PLAN

If the Court adopted your proposed parenting plan, describe the regular school-year schedule in detail^*

Describe your proposed weekend schedule^*

Describe your proposed holiday schedule^*

Describe your proposed summer schedule^*

Parental responsibility/decision-making requested^*

Shared parental responsibility

Shared with ultimate decision-making to Mother

Shared with ultimate decision-making to Father

Sole parental responsibility to Mother

Sole parental responsibility to Father

Other

Explain why your proposed parental responsibility arrangement is in the child(ren)'s best interests^*

Describe proposed transportation/exchange provisions^*

Describe proposed parent-child communication provisions^*

Describe any safeguards, restrictions, supervision, treatment, testing, or conditions you believe are necessary^*

What are the downsides or weaknesses of your proposed plan, if any?^*

What would need to change for you to support more time with the other parent?^*

SECTION 23 - SELF-ASSESSMENT AND INSIGHT

How would your friends and family describe you?^*

What are your three greatest strengths as a parent?^*

What are your three greatest weaknesses or growth areas as a parent?^*

What would the other parent say are your greatest strengths?^*

What would the other parent say are your greatest weaknesses?^*

If the Judge decided the child(ren) should live primarily with the other parent, how would you respond?^*

What could you do differently to help the child(ren) adjust to the separation/divorce/litigation?^*

If your child(ren) could speak completely honestly about the conflict, what three things would they say?^*

SECTION 24 - COLLATERAL WITNESSES

Collateral Witnesses^*

List individuals with firsthand knowledge. Do not list people whose only information comes from what you told them.

Are there any individuals you do NOT believe the evaluator should contact? Explain why:^*

SECTION 25 - DOCUMENT PRODUCTION CHECKLIST

Household and practical records:^*

Lease/mortgage information

Utility records

Employment schedule

Pay records if relevant

Transportation records

Childcare receipts

Travel records

Calendar entries

Other

List any documents you believe the evaluator should request from the other parent or a third party:^*

SECTION 26 - ADDITIONAL INFORMATION

Is there anything else you believe the evaluator should know?^*

Are there any questions you expected to be asked that were not included in this questionnaire?^*

VERIFICATION AND CERTIFICATION

I certify that I personally completed this questionnaire and that the information provided is true and accurate to the best of my knowledge and belief. I understand that incomplete, inaccurate, exaggerated, or misleading information may be considered by the evaluator and may be provided to the Court as part of the Social Investigation process.

I certify that these responses are my own and reflect my personal knowledge and opinions. If I received assistance from another person, attorney, family member, friend, artificial intelligence platform, or other source in preparing these responses, I have identified that assistance below.^*

No assistance received

Assistance received from:

Assistance received from (specify):^*

Reason:^*

Printed Name:^*

Signature:^*

Sign here

Page Initials Confirmed:^*

Date:^*

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