Questions? Please reach out to Diane Atherton at datherton@pfcfmc.org or (910) 949-4045.

Below are a list of issues relating to being a parent. Please circle the number describing the response which best describes how you honestly feel. 

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* 1. In an overall sense, how difficult has your child's behavior been over the last 6 weeks?

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* 2. To what extent do the following statements describe your experience as a parent in the last 6 weeks?

  Not at all Slightly Moderately Very Extremely
Parenting is rewarding
Parenting is demanding
Parenting is stressful
Parenting is fulfilling
Parenting is depressing

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* 3. In the last 6 weeks, how confident have you felt to undertake your responsibilities as a parent? 

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* 4. How supported have you felt in your role as a parent over the last 6 weeks? 

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* 5. If you have a partner, please complete the following items.

To what extent do you both agree over methods of disciplining your child? 

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* 6. How supportive has your partner been towards you in your role as a parent over the last 6 weeks? 

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* 7. In an overall sense, how happy do you consider your relationship with your partner to be? (Note: the middle point, 'happy' represents the degree of happiness of most relationships, please indicate the point that best describes the degree of happiness, all things considered, of your relationship)

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