Family-Child relationship Survey
A survey tool to help parents to connect with their children in this busy world. Please take a few minutes to fill out this survey. Thank you!
Name
First Name
Last Name
E-mail
What is the best description of your family? (Select all that apply)
Nuclear family (2 parents household)
Single-parent household
Stepfamily
Extended family (parents+other relatives living under the same roof)
Grandparent family
Grade level of your children enrolled in MCES
Pre-K
Kindergarten
1
2
3
4
Other
How much time do you spend with your children?( average amount, before bedtime, including weekends).
Approx. 40h or more
Approx. 30-40h
Approx. 20-30h
Approx. 10- 20h
Other
How well do you believe you know your child/children?
1
2
3
4
5
Could know better
Know very well
1 is Could know better, 5 is Know very well
How well do you think your children listen to you?
1
2
3
4
5
Could listen better
Listen pretty well
1 is Could listen better, 5 is Listen pretty well
If there is anything you could improve in your relationship with your child/ children, what would it be?
How would you rate your stress level in the last 6 months?
1
2
3
4
5
Not too stressful
Pretty stressed
1 is Not too stressful , 5 is Pretty stressed
Additional comments
How would you rate your child/ children’s stress level in the last 6 months?
1
2
3
4
5
Pretty relaxed
Very stressed
1 is Pretty relaxed, 5 is Very stressed
Additional comments
How has the summer to school transition been for your family?
1
2
3
4
5
What goals do you have for you and your family during this school year?
If there is anything that could make your life easier during this school year, what would it be?
What kind of parenting workshop would you be willing to attend?
Online
After school in person
On a weekend
Not interested at all
What topics do you wish to learn concerning parenting?
What is the best way to reach you?
Submit
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