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!
Email address *
Date *
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Name of Participant *
Pre or Post *
1. What is your birthdate? *
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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? *
6. Have you attended a training school? *
7. Are you employed? *
8. 24/7 Dad has which of the five following traits: *
9. When a 24/7 Dad uses his fathering skills, he knows: *
10. Today's culture does not link body image and what it means to be a man. *
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