Please take this parenting assessment. This helps us evaluate effectiveness of the class and will ensure that you receive a certificate of completion. Please let us know if you have any questions. Thank you!

Question Title

* 1. Date Survey Was Taken

Date

Question Title

* 2. First Name

Question Title

* 3. Middle Initial

Question Title

* 4. Last Name (Or ID):

Question Title

* 5. Birthday

Date

Question Title

* 6. Gender:

Question Title

* 7. Race/Nationality:

Question Title

* 8. Marital Status:

Question Title

* 9. Number of children you have:

Question Title

* 10. Highest grade you completed:

Question Title

* 11. Current Employment-School status:

Question Title

* 12. Annual Household Income (estimate):

Question Title

* 13. Are/were you or your partner in the military?

Question Title

* 14. As a child, did you experience any type of physical, emotional or sexual abuse by someone outside your family?

Question Title

* 15. As a child, did you experience any type of physical, emotional or sexual abuse by someone inside your family?

0 of 55 answered
 

T