Winslow Township Healthy Marriage & Family Survey Question Title * 1. What is your marital status? Single (never married) Married Separated Divorced Question Title * 2. Do you have a family that includes children from a previous marriage or relationship? Yes No Question Title * 3. What are your greatest concerns regarding your children? Childcare Peer pressure Cost of higher education Classroom performance Social Media Drug/alcohol addiction Career choices Other (please specify) Question Title * 4. Are you, your spouse or child(ren) living with a chronic health or mental health condition? Yes No N/A If yes, please specify. Question Title * 5. Are you or your spouse combatting a drug, alcohol or gambling addiction? Yes No If yes, please specify Question Title * 6. Social media positively affects my relationship with my spouse and/or my child(ren). I strongly agree I agree I disagree I strongly disagree Not applicable Question Title * 7. Have you or your spouse been impacted by domestic violence within the last 3 years? Yes No Question Title * 8. I am very concerned about our present and/or future financial stability. I strongly agree I agree I disagree I strongly disagree Question Title * 9. My family has a very strong spiritual foundation. I strongly agree I agree I disagree I strongly disagree Question Title * 10. Which areas in your family would you like to see the most improvement? (Check all that apply) Communication Controlling Emotions Finances Health Parenting Time Management Other (please specify) Done