General Single Parent Survey

Are you a Mother of Father?

• Mother
• Father

How old are you?

• 14-18
• 19-21
• 22-25
• 25-29
• 30+

How many Children do you have?

• 1
• 2
• 3
• 4
• 5+

What are the ages of your children?

Please select all that apply.

• 1-3
• 4-6
• 7-11
• 12-14
• 15+

How often do you see your children?

Please select all that apply.

• never
• coulple times a year
• monthly
• weekends
• half the time
• full time

Have you been in your children's lives since birth?

Please select all that apply.

• yes
• no

Is the other parent involved in your children's lives?

• No
• Yes

Have they been in your children's lives since birth?

• no
• yes

Rate your parenting relationship with the other parent

• great
• good
• ok
• bad
• depends what time you ask me

Has the other parent helped or hurt your relationship with your children?

• Helped
• Hurt
• Neither

Rate your relationship with your children.

Please select all that apply.

• great
• good
• ok
• bad