Co-Managing A Household Survey

Co-Managing a Household: Division of Work & Mental Labor
Hello! This survey is about the division of household work and mental labor in families. Survey answers will be used anonymously and in aggregate without identifying information. If you'd like to be contacted by the researchers about future projects on this topic, please feel free to fill in the optional contact info at the bottom. Thanks for participating! Lisa Moses, Psy.D./Director, Personalized Psychology

Any questions? Contact drlisamoses@gmail.com
I identify as:*

MaleFemaleNon-binaryOther
My partner identifies as:*

MaleFemaleNon-binaryOther
How many children do you have? If none, type "0"*
If you have children, how old are they?*
I work for money...*

Full-time, in personFull-time, fully remoteFull-time, partially remotePart-time, in personPart-time, fully remotePart-time, partially remoteNot at all
My partner works for money...*

Full-time, in personFull-time, fully remoteFull-time, partially remotePart-time, in personPart-time, fully remotePart-time, partially remoteNot at all

1. How equal is the division of "household work" in your family? Examples: cooking, cleaning, paying bills, childcare, house repairs, etc.*

	1	2	3	4	5

1 is My Partner Does It, 5 is I Do It

2. Do you feel the division of "household work" in your family is fair? *

	1	2	3	4	5

1 is Not Fair, 5 is Very Fair

3. How much of a difference would it make in your relationship (closeness, conflict level) if the division of "household work" felt more equal or fair?*

	1	2	3	4	5

1 is Not Much Difference, 5 is A Big Difference

4. How equal is the division of "mental labor" in your family? Examples: planning, scheduling, organizing, remembering, etc.*

	1	2	3	4	5

1 is My Partner Does It, 5 is I Do It

5. Do you feel the division of "mental labor" in your family is fair?*

	1	2	3	4	5

1 is Not Fair, 5 is Very Fair

6. How much of a difference would it make in your relationship (closeness, conflict level) if the division of "mental labor" felt more equal or fair?*

	1	2	3	4	5

1 is Not Much Difference, 5 is A Big Difference

7. Have you and/or your partner been diagnosed with ADHD? (Choose all that apply)*

MeMy partnerSuspect I have itSuspect my partner has itNeither of us have it
8. My partner and I use a shared calendar.*
9. My partner and I regularly use a shared to-do list.*
10. Additional Notes/Feedback
9. Would you like to be contacted by the researchers to participate in future workshops or hear more about solutions to equalizing household work? If so, please enter your name and e-mail address below.

Yes!No
Name

First NameLast Name
Email
example@example.com
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Co-Managing a Household: Division of Work & Mental Labor

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