Rating Scale

RELIGION

Guardianship Guidance

This exercise will help you evaluate your values, beliefs and goals
to determine the best Guardian for your children.

First Name *

Last Name *

Phone Number *

Email Address *

Rate your responses using the following scale:

Ability to provide private schooling

Ability to provide entertainment expenses

Ability to provide for more than one child

Ability to provided a car and other luxuries

Rate the importance of religion in raising your child(ren). *

	1	2	3	4	5
Religious household	1	2	3	4	5
Religious household; same denomination.	1	2	3	4	5
Private religious schooling	1	2	3	4	5
Completion of religions sacraments/rights	1	2	3	4	5

Comments

Rate the importance of how finances play a role in raising your child(en). *

Comments

Rate the importance of the following characteristics for your ideal Guardian. *

	1	2	3	4	5
Married	1	2	3	4	5
Children	1	2	3	4	5
Children near the same age as yours	1	2	3	4	5
Family member	1	2	3	4	5
Lives in your state	1	2	3	4	5
Wealthy	1	2	3	4	5
Religious	1	2	3	4	5
Artistic	1	2	3	4	5
Educated	1	2	3	4	5
Sense of humor	1	2	3	4	5
Travel -Vacation	1	2	3	4	5
Work Life (40 or less hours a week)	1	2	3	4	5
Over the age of 30	1	2	3	4	5
Over the age of 40	1	2	3	4	5
Over the age of 50	1	2	3	4	5
Under the age of 40	1	2	3	4	5
Under the age of 50	1	2	3	4	5
Under the age of 60	1	2	3	4	5

Comments

Are the political beliefs of your choice in guardian important? *

Please chose the political party or affiliation you would like your guardian to be.

Please list political party name.

Comments

Additional Comments