Children's Home
Society of Florida
Report on Home personally investigated
............... Date ...............
Home of ............... Residence ................ Phone ...............
THE FAMILY
1. How does it stand as to honesty, morality, and trustworthiness?
2. How does it grade in education? ............... In Intelligence?
...............
3. Are they kind hearted and sympathetic?
4. Do they seem generous and liberal in spirit?
5. Does any member of the family use intoxicants?
6. Did you learn of any bad personal faults or habits?
7. Are they frugal and industrious?
8. What is their income? ............... Its source? ...............
9. Habits of church going ............... Are they active
in church work? ...............
10. Did you interview husband? ............... Temperament
...............
11. Did you interview wife? ............... Temperament ...............
12. Husband’s purpose in taking child?
13. Wife’s purpose in taking child?
14. Are there children in the Home? ............... How many?
............... Ages? ...............
THE HOME
1. Describe their property ............... Approximate value
...............
2. Is the home cleanly? ............... Neat? ...............
Convenient? ...............
3. Have they books? ............... Papers? ...............
Musical instruments? ............... Pictures? ...............
4. What of the furnishings? ............... Cultured? ...............
5. What of the neighborhood?
6. Will they give the child reasonable school, church and
social privileges?
7. Describe the children in Home ............... Lodging
place? ...............
8. If a Society ward is now in the home, give name
9. Date of placement
10. General remarks
11. What is your recommendation?
Signed
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