Co-Managing A Household Survey

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:

My partner identifies as:

How many children do you have? If none, type "0"

If you have children, how old are they?

I work for money...

My partner works for money...

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)

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.

Name

First NameLast Name

Email

example@example.com

Co-Managing a Household: Division of Work & Mental Labor

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