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Grandparent Subjective Well-Being

Anonymous Survey Consent Form


You are invited to complete an anonymous online questionnaire for a Walden University study. To provide your informed consent, please review the information below and continue on to the survey if you choose to proceed.


Your role:

is completely voluntary and can end at any time you wish
is anonymous (your name will not be requested)
involves completing a questionnaire
involves little or no risk

Privacy:
To protect your privacy, the researcher will not collect, track, or store your identity or contact info. In place of a consent signature, your completion of the questionnaire would indicate that you consent to your responses being analyzed in the study.


Data will be kept secure by using password-protected devices and platforms. Data will be kept for a period of at least 5 years, as required by the university.


The study results will be available online, and can be located via any search engine by the researcher’s name and the study topic.


Contacts and Questions:

Questions about the study can be emailed to the researcher via jill.bryant@mail.waldenu.edu. If you want to talk privately about your rights as a participant or any negative parts of the study, you can call Walden University’s Research Participant Advocate at 612-312-1210 or email IRB@mail.waldenu.edu. Walden University’s ethics approval number for this study is 03-31-26-2792685.


You might wish to retain this consent form for your records. You may ask the researcher or Walden University for a copy at any time using the contact info above.
1.What is your age?
2.What is your gender/sex?
3.How would you describe your race/ethnicity?
4.What is your marital/relationship status?
5.What is the highest level of education you have completed?
6.Which of the following best describes your current employment status?
7.What is your geographic location?
8.Have you formally adopted the grandchildren in your care?
9.How many grandchildren are currently in your care?
IESS Scale
10.I have people in my life who pay attention to my feelings and problems.
Never
Rarely
Sometimes
Often
Always
11.There is someone who takes pride in my accomplishments.
Never
Rarely
Sometimes
Often
Always
12.I have people in my life who appreciate what I do.
Never
Rarely
Sometimes
Often
Always
13.I have someone I can trust to help solve my problems.
Never
Rarely
Sometimes
Often
Always
14.There are people I can talk to about how to handle things.
Never
Rarely
Sometimes
Often
Always
15.I feel loved by my family.
Never
Rarely
Sometimes
Often
Always
16.I have a relative or friend I can really confide in.
Never
Rarely
Sometimes
Often
Always
17.My family really tries to help me.
Never
Rarely
Sometimes
Often
Always
18.I get the emotional help and support I need from my family.
Never
Rarely
Sometimes
Often
Always
19.I can do just about anything I set my mind to.
Never
Rarely
Sometimes
Often
Always
20.I feel that I can handle many things at a time.
Never
Rarely
Sometimes
Often
Always
21.I have the ability to make my own decisions.
Never
Rarely
Sometimes
Often
Always
22.I feel in control of my daily life and environment.
Never
Rarely
Sometimes
Often
Always
23.If I needed help with money, I have someone to turn to.
Never
Rarely
Sometimes
Often
Always
24.There is someone who would provide me with material aid if I needed it.
Never
Rarely
Sometimes
Often
Always
25.I can count on someone for financial assistance in an emergency.
Never
Rarely
Sometimes
Often
Always
The Parental Stress Scale

The following set of questions are asking you about your feelings towards your grandchildren in your care, not your adult children
26.I am happy in my role as a parent
Strongly disagree
Disagree
Undecided
Agree
Strongly Agree
27.There is little or nothing I wouldn't do for my child(ren) if it was necessary.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
28.Caring for my child(ren) sometimes takes more time and energy than I have to give.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
29.I sometimes worry whether I am doing enough for my child(ren).
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
30.I feel close to my child(ren).
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
31.I enjoy spending time with my child(ren).
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
32.My child(ren) is an important source of affection for me.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
33.Having child(ren) gives me a more certain and optimistic view for the future.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
34.The major source of stress in my life is my child(ren).
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
35.Having child(ren) leaves little time and flexibility in my life.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
36.Having child(ren) has been a financial burden.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
37.It is difficult to balance different responsibilities because of my child(ren).
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
38.The behaviour of my child(ren) is often embarrassing or stressful to me.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
39.If I had it to do over again, I might decide not to have child(ren).
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
40.I feel overwhelmed by the responsibility of being a parent.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
41.Having child(ren) has meant having too few choices and too little control over my life.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
42.I am satisfied as a parent
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
43.I find my child(ren) enjoyable
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
Family Support Scale

How helpful has each of the following been to you in terms of raising your children? Please answer for your grandchildren, not your adult children.
44.My parents
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
45.My partner/spouse’s parents
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
46.My relatives/kin
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
47.Partner/spouse
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
48.Spouse's relatives
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
49.My friends
not very helpful
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
50.My partner/spouse’s friends
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
51.My own friends [children]
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
52.Other parents
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
53.Co-workers
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
54.Parent groups
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
55.Social groups/clubs
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
56.Place of worship/Religious organizations
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
57.My family or child's doctor
not very helpful
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
58.Professional helpers (social workers, therapists, etc.)
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
59.Professional agencies (public health, mental health, social services, etc.)
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
60.School/day-care centers
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A
61.Early intervention programmes
not helpful at all
sometimes helpful
generally helpful
very helpful
extremely helpful
N/A