Parental Alienation Behaviour and Signs Assessment

Join the 8-week programme at worldparents.org/takeit

Survey based on the Five-Factor Model for the Diagnosis of Parental Alienation by William Bernet (MD) and Laurence L. Greenhill (MD)

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20% of survey complete.

Question Title

1. Your gender (Required.)

Male

Female

Question Title

2. Country (Required.)

Question Title

3. Is your child avoiding parenting time with you? (Required.)

Never

Rarely

Sometimes

Usually

Always

Question Title

4. In the past, did you have a healthy, mutually satisfying relationship with your child? (Required.)

Never

Rarely

Sometimes

Usually

Always

Question Title

5. Was your child abused or neglected by you? (Required.)

Yes

No