Anonymous Parent Feedback Survey

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We are seeking information from parents who have had experience with Kentucky Child Protective Services/the Kentucky Cabinet for Health and Family Services/the Kentucky Department for Community Based Services (DCBS), etc. The overall goal is to utilize the information provided here to guide the development of recommendations to push for change within the child welfare system guided by the voices of those with personal experience. Providing honest feedback is the first step in creating real change. All responses will remain confidential and anonymous. Thank you for your time and participation.

Which part of Kentucky do you live in? *

Please select only one.

Cumberland Region - Includes Adair, Bell, Casey, Clay, Clinton, Cumberland, Green, Harlan, Jackson, Knox, Laurel, McCreary, Pulaski, Rockcastle, Russell, Taylor, Wayne, and Whitley Counties

Eastern Mountain Region- Includes Breathitt, Floyd, Johnson, Knott, Lee, Leslie, Letcher, Magoffin, Martin, Owsley, Perry, Pike, and Wolfe Counties

Jefferson Region - Includes Jefferson County

Northeastern Region - Includes Bath, Bracken, Boyd, Carter, Elliott, Fleming, Greenup, Lawrence, Lewis, Mason, Menifee, Montgomery, Morgan, Robertson, and Rowan Counties

Northern Bluegrass Region - Includes Boone, Bourbon, Campbell, Carroll, Gallatin, Grant, Harrison, Kenton, Nicholas, Owen, Pendleton, and Scott Counties

Salt River Trail Region - Includes Anderson, Breckinridge, Bullitt, Franklin, Grayson, Hardin, Henry, Larue, Marion, Meade, Nelson, Oldham, Shelby, Spencer, Trimble, Washington, and Woodford Counties

Southern Bluegrass Region - Includes Boyle, Clark, Estill, Fayette, Garrard, Jessamine, Lincoln, Madison, Mercer, and Powell Counties

The Lakes Region - Includes Ballard, Caldwell, Calloway, Carlisle, Christian, Crittenden, Fulton, Graves, Hickman, Hopkins, Livingston, Lyon, Marshall, McCracken, Muhlenberg, Trigg, and Todd Counties

Two Rivers Region - Includes Allen, Barren, Butler, Daviess, Edmonson, Hancock, Hart, Henderson, Logan, McLean, Metcalfe, Monroe, Ohio, Simpson, Union, Warren, and Webster Counties

Required

What is your age? *

18-24

25-34

35-44

45-54

55-64

65+

Other:

What best describes your race and/ or ethnicity? *

Please select all that apply.

American Indian/ Alaska Native

Black, Afro-Caribbean, African American

East Asian/ Asian American

Latinx/ Hispanic American

Middle Eastern/ Arab American

Southeast Asian/ Indian American

White/ European American

Required

How do you describe yourself? *

Man (Cisgender/Transgender)

Woman (Cisgender/Transgender)

Non-binary

Two Spirit

Transgender

What is your marital status? *

Single

Married/Partnered

Divorced

Widowed/Separated

Has your household been investigated by the child welfare agency for child abuse or neglect? *

Yes

What month and year did the investigation begin? *

How many children were involved in your child welfare investigation? *

1-4

5-9

10+

Has your case closed with the child welfare agency? *

Yes

Were you referred to the child welfare agency due to: *

Domestic violence

Abuse (physical, sexual, etc.)

Neglect (educational, medical, etc.)

Dependency

Substance abuse (drugs or alcohol)

Housing or food insecurities

Mental health

Other:

Required

During your case, what services/ actions were provided or taken? *

To ensure that BPAC members and their children represent different backgrounds and experiences, please answer the following question. (Check all that apply.)

Children remained in the home

Children were removed from home

Investigation

Services with community providers/partners (such as therapy, visitation center, assessments, etc.)

Participated in court proceedings

Required

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