A survey about the thing it's titled
Do you feel like you have a healthy relationship with your parent(s)?
How much time do you spend with your parent(s) on the weekend? *If your parents are divorced, answer for your primary caregiver.
Almost the whole weekend
A couple of hours
About a day
I eat dinner with them sometimes
If given the option to spend more time with them, or less, which would you prefer?
On a scale of 1 to 5, how much influence do you think the way your parent(s) raised you has influenced you as a person?
Not at all
Do you think you will emulate your parents in raising your own child(ren), should you have any?
I don't want kids
Is there anything that you have experienced from your parent(s) that you would definitely not do to your own child ?
Do you have a history of any mental disorders such as depression or anxiety? If yes, please explain.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service