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* 1. Age/s of all teens in your home.

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* 2. Marital status:

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* 3. Are you currently married to the parent of your teen?

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* 4. If you are divorced, please rate the impact of your divorce on your teens on a scale from 0 (no impact/not difficult)-5 (extremely impactful/very difficult).

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* 5. What is your favorite part of being a parent?

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* 6. Are you a part of any parent groups (online or in your area)?

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* 7. What do you like to read, listen to and watch? What does your teen/s read, listen to and watch?

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* 8. What are your THREE biggest worries about your teen? Add your own if needed.

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* 9. Can we stay in touch? Your email address will never be sold or given away. I promise I will not flood your inbox. You can expect one message a month about parenting teens and healthy relationships. (I bet you don't want to get a bunch of crap every day and, honestly, I don't want to write it!)

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