MBK's 24/7 DAD Fatherhood Survey
All referral candidates are required to complete this survey as both at the beginning and end of the course. It is mandatory for enrollment and completion of the MBK Fatherhood Program, there will be no exceptions!
Name of Participant
Pre or Post
1. What is your birthdate?
2. Are you a father?
3. What is your marital status?
4. What is your ethnicity?
5. What's the highest grade you completed in School?
College - not completed
College - Bachelors
College - Masters
6. Have you attended a training school?
7. Are you employed?
8. 24/7 Dad has which of the five following traits:
Self-awareness, physical strength, mental strength, parenting skills, & relationship skills
Self-awareness, physical strength, caring for self, fathering skills, & relationship skills
Self-awareness, caring for self, parenting skills, fathering skills & relationship skills
Caring for self, physical strength, mental strength, relationship skills & money skills
I'm not sure
9. When a 24/7 Dad uses his fathering skills, he knows:
His children's interests & activities
His children should go to college
The unique gifts that he and their mom bring to raising their children
His children need a good relationship with their grandparents
E and D
A and C
10. Today's culture does not link body image and what it means to be a man.
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This form was created inside of My Brother's Keeper of Greater Richmond.