Parenting Study @ Penn : Inquiry Form

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Parenting Study @ Penn : Inquiry Form

Please complete this form, and we will get back to you within 48 hours with your next steps. There are no wrong answers here. We will use this information to build an anonymous profile of you.

All information will be deidentified and kept confidential. Your email is required and will be used for communication purposes only. All correspondence will be conducted over email until your set interview date via Zoom. Please email steft@sas.upenn.edu with any questions about this form.

Email *

Where do you live? *

(City, State)

Number of Child(ren) *

(No names please)

Age of Child(ren) *

(No Names please)

Babies under ~two years old will be allowed in the room with you during the interview.

Due to confidentiality restrictions, we can not allow any other aged children to be present during the interview.

Your Gender Identity *

Your Birth Year *

Please estimate the percentage of time during a typical week that your child(ren) spends in your home. *

This can include time at school or daycare but should exclude any time they spend under the supervision of another guardian outside of your home, such as custody visits to another parent's house.

0% of the time

less than 24% of the time

25% - 49% of the time

50% - 74% of the time

75% - 99% of the time

100% of the time

Other:

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