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Survey for Single Moms
Survey for Single Moms
1.
What are the biggest challenges you face as a single parent?
A. Balancing work and parenting responsibilities
B. Feeling overwhelmed with everyday tasks
C. Managing household responsibilities alone
D. Dealing with emotional challenges
E. Lack of personal time
Other (please specify)
2.
What support system do you have in place to help you with the additional responsibilities?
A. Family
B. Friends
C. Support groups
Other (please specify)
3.
How would your circumstances be different if you were not facing any financial difficulties?
A- Increased opportunities for personal and family activities
B- Reduced stress and anxiety related to finances
C- Ability to save for the future and invest in education or other goals
D- Improved quality of life and well-being for you and your family
E- No, I don't have them
Other (please specify)
4.
How has being a single parent affected your children's sense of responsibility?
A- Children taking on more responsibilities at home
B- Children feeling a sense of duty to help and support the family
C- Changes in family roles and dynamics
Other (please specify)
5.
What behavioral changes have you noticed in your children since you became a single parent?
A- Withdrawal or changes in social behavior
B- Acting out or displaying more aggression
C- Changes in academic performance
D- Emotional outbursts or mood swings
E- Increased responsibility-taking behavior
Other (please specify)
6.
Do you use statements like "You are the man of the house" for boys or "You are now the big sister and you should take care of your younger sibling(s)" for girls to assign roles in the family?
A. Yes
B. No
7.
How has your status as a single parent influenced your child(ren)'s views on relationships and family dynamics?
A. Positive influence: Positive role modeling and healthy relationship behaviors, promotion of independence and resilience, enhanced understanding and acceptance of diverse family structures.
B. Negative influence: Awareness of challenges and vulnerabilities in relationships and family dynamics.
C. I don’t notice any difference.
8.
What additional responsibilities or burdens do you think your child(ren) may face?
A- Increased household chores
B- Emotional stress
C- Feeling of responsibility for the family
D- Limited time for personal activities
Other (please specify)
9.
What do you think your child needs the most right now?
A- Emotional support
B- Guidance and mentorship
C- Quality time
D- Stability and security
E- Connection and attention
F- Humor and playfulness
Other (please specify)
10.
How do you prioritize self-care and well-being while managing your responsibilities?
A- Setting aside time for yourself each day for activities you enjoy
B- Seeking support from friends or family members
C- Engaging in regular exercise or physical activity
D- Practicing mindfulness or meditation
E- Taking breaks when needed and not feeling guilty about it
F- Getting enough sleep and rest
G- Seeking professional help or therapy when needed
D- Engaging in hobbies or interests outside of parenting
E- None
Other (please specify)