Single Dad's Survey

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1. I am: (Required.)

Working fulltime

Working part-time

Studying

On a sole-purposes benefit (DPB)

On another kind of benefit

Other (please specify)

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

Other (please specify)

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

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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: (Required.)

Never had a relationship with the other parent

Was in a defacto relationship with other parent, now separated

Was married to the other parent, now separated

The other parent passed away.

Something else

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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: (Required.)

I have full/sole custody of my children

I have shared care of my children - ie. 50/50

I have my child/ren 5 days a week

I have my children less than 1-5 days a week

I have my children 2-3 days once a fortnight

I see my children once a month or less

I don't see my children at all

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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: (Required.)

Yes

I'd like things to be a little different but I'm mostly happy

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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: (Required.)

The mother decided and I went along with it

Private arrangement between the mother and myself

Through mediation (we have a parenting order)

Through the court

Other (please specify)

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

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

Other (please specify)

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9. Please indicate the level of support you have: (Required.)

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

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10. Overall, I'm (Required.)

Not at all stressed

Stressed occasionally

Stressed some of the time

Stressed most of the time

Stressed all of the time

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* 1. I am: (Required.)

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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:

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

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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: (Required.)

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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: (Required.)

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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: (Required.)

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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: (Required.)

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

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

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* 10. Overall, I'm (Required.)

1. I am: (Required.)

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:

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

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

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

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: (Required.)

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: (Required.)

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

9. Please indicate the level of support you have: (Required.)

10. Overall, I'm (Required.)