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. 

Family  Court Crooks Central