My
Experience with Family Court
A Survey for
Custodial, Non-custodial, and/or Alienated / former Parents
Name:
Optional: First _________________
Last : ___________________
1.
My
Divorce took place in the ____________ Family Court House. Fill in the blank:
for example, San Diego, El Cajon, or Vista.
2.
My
Legal Separation, Divorce, and/or Custody Dispute or Battle fight took place
over a _______ month/year period. Circle
month or year, whichever one applies.
3.
My
Legal Separation, Divorce, and/or Custody Dispute took place from
approximately _______
to _______. For example: 1999 to
2002.
4.
Did
your Custody Dispute over a child go on beyond your date of Divorce?
Yes ____ No ____
If Yes, for how many more months or Years?
________ Months / Years.
5.
During
your Custody Dispute, were you the Custodial Parent or Non-custodial parent:
Custodial _____ Non-custodial
_____. Mark whichever one
applies.
6.
At this
point in time do you consider yourself a Parent, Custodial Parent,
Non-custodial parent, or former parent? Parent
_____ Custodial _____ Non-custodial ______
former parent _____
7.
Did
your Custody Dispute involve Allegations, or False Allegations of Domestic
violence and/or Child Abuse? Yes
____ No ____.
If Yes, on how many occasions? _______
time / times.
8.
Were
any of the Allegations true? Yes
____ No ____ Or they had a “grain” of truth ______
9.
Did you
lose custody of your Child or Children as a result of a court order, or
because you could not / no longer afford a lawyer, mediator, and/or
supervisor? Yes ____
No ____
10.
Were
lawyers involved in your case? Yes
____ No ____.
If Yes, how many? _____
What were their names, and whose side were they on. Use space below or separate sheet of paper.
My Lawyers:
___________________________________________________________________
Spouse’s Lawyers:
_______________________________________________________________
Minor’s Counsel: Yes _____ No _____ If
Yes, what was his or her name: _____________________
11.
Was a
Family Court Services Mediator assigned to your case?
Yes ____ No ____
If Yes, what was his or her name: ______________________________________
12.
Was a
Private Mediator also assigned to your case?
Yes ____ No ____
If Yes, what was his or her name: _______________________________
13.
Was a
Therapist, Play therapist, and/or Psychologist assigned to your case?
Yes ____ No ____
If Yes list their names:
___________________________________________________________
14.
Was a
psychological evaluation ordered for your case? Yes ____ No
____
If Yes, who was the evaluator: ____________________________________________________
15.
Did
your case involve a court appointed (i.e. professional) supervisor?
Yes ____ No ____
If Yes, for how long? _______
months / years. What was the name
of your supervisor(s):
________________________ _____________________
______________________
16.
Approx.
how much Money did you, and/or your spouse, spend on your Divorce and/or
Custody Dispute: I spent approx. __________ Dollars, and my spouse spent
approx. __________ Dollars.
17.
Was
more than one Family Court Judge involved in your case?
Yes ____ No ____
If Yes, how many? Circle
the number of Judges: 1 2
3 4
5 6 7.
18.
List
the name, or names of the Judges that were involved in your case?
____________________
_____________________________________________________________________________
19.
Do you
presently have any contact with your child, or children?
Yes ____ No ____
If No, do you feel that the Family Court had a part in alienating you from
your Children:
Yes ____ No ____
20.
On a
scale of 1-10 (with 10 being the Most, and 1 the least) how satisfied were you
with the service that you received from the local Family Court?
_______
21.
If you
were separated from your Child, or Children, as a result of a Family Court
action, or inaction, for how many months or years were you separated for?
_______ months /years.
22.
Do you
feel that the Money, or lack of it, played a part in the outcome of your
custody dispute?
Yes ____ No ____.
23.
On a
scale of 1-10 (with 10 being a LOT, and 1 a little) how much would you say
that Money played a part in the outcome of your custody dispute?
_______ (write a Number in
the blank).
May
we use your name to help improve our courts?
Yes ____ No ____
If yes please sign below and provide today’s Date. Otherwise leave blank.
Signature: _________________________
Today’s Date: _________________________________
Contact Information: Address or
Mailing Address: _________________________________________
__________________________________________________________________________________
Phone # __________________
Email: __________________ Provide
email info: Yes ____ No ____
Your
contact information is optional.
If you wish to provide more comments about your case, use, and attach,
additional pages.
Return
completed survey to:
Family Court Survey, 243 S. Escondido Blvd. #305, Escondido, CA
92025
This survey is being conducted by local San Diego parents and former
parents:
Your participation is important but voluntary.