Family of Origin Perceptions Questionnaire

This form will take you through the Family of Origins Perceptions Questionnaire.

The purpose of the questionnaire is to help the participants understand their own perceptions of their Family of Origin (the family he or she grew up in).

Please note that all questionnaires will be kept confidential. Individual results will be collected via this form. You can participate in the survey and remain completely anonymous if you prefer. You won't be asked to fill out your name until the very end so you can decide on these matters after you've had a chance to see the entire questionnaire.

The results of this survey have been based on a population from primarily a Western background, with a majority of the participants being from the United States and the United Kingdom. As data is collected from other countries, more culturally specific data will be used in analysis.

Please complete this questionnaire when you are in a good mood. For example, if you are stressed or hungry or tired, this can affect the results. The results will be clearest if there are few or no internal or external distractions.

The questionnaire has a section for collecting background information along with 30 statements to respond to. Please respond to the statements in the survey with the answer that most accurately describes your perceptions. There are no “right” or “wrong” answers. The quesionnaire takes about 10 minutes to complete. Thanks for your interest in the survey.

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