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* 1. I am:

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* 2. If you are on a benefit or a sole purposes benefit (DPB), please comment on the following statements regarding your experience of being on the benefit:

  Not at all Sometimes Most of the time All of the time
Staff from WINZ have treated me disrespectfully
My friends/family have criticized me
I don't tell anyone I'm on a benefit
I've felt ashamed for being on a benefit

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* 3. If you are on a benefit, please indicate what is true for you in terms of looking for work:

  Not true Somewhat true Very true
I have not looked for work due to illness/disability
I have not looked for work because I want to be there for my kids
I am trying to look for work but I can't find a job
I am trying to look for work but I can't find a job that pays more than the benefit

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* 4. What situation best describes your's? You can choose more than one answer if you have children to more than one parent:

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* 5. Please choose the situation that best describes your's - you can choose more than one answer if you have children to different parents:

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* 6. Are you happy with your current custody arrangements with your children? You can choose more than one answer if you have children to different parents:

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* 7. How were your current custody arrangements made re: your access to the children? You can choose more than one answer if you have children to different parents:

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* 8. Please comment on how difficult you found the following as a single parent:

  Not an issue Slightly difficult Some difficulty Very difficult Extremely difficult
Grief/loss of the relationship
Stigma or shame of being a single parent
Loneliness
Not getting enough of a break
Financial hardship
Loss of friends/family choosing sides
Reduced time with my child/ren
Parenting & responsibilities on your own
Conflict with ex
Recovering from psychological/physical abuse from partner
Legal/court battles
Child/ren's emotions re: separation

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* 9. Please indicate the level of support you have:

  None A little Some Quite a lot
Family Support
Support from friends
Support from community groups
Support from social services

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* 10. Overall, I'm

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