SMILE Mothers Co-Parenting Wellness Interest Survey

SMILE is exploring the possibility of offering a Co-Parenting Relationship Wellness Workshop for mothers who are separated, divorced, or parenting outside of marriage. Your feedback will help us design a program that best meets your needs.

Question Title

1. Are you currently in a co-parenting situation? (Required.)

Married

Yes, divorced

Yes, separated

Yes, not married co-parents (not living together)

Yes, not married co-parents (living together)

No, not currently co-parenting

Other (please specify)

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2. How interested would you be in attending a Co-Parenting Relationship Wellness Workshop? (Required.)

Very interested

Somewhat interested

Not sure

Not interested at this time

Other (please specify)

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3. What topics would be most helpful for you? (Select all that apply) (Required.)

Communicating effectively with my co-parent

Managing conflict and emotional triggers

Creating or improving a co-parenting agreement

Keeping my child emotionally safe during conflict

Setting boundaries and expectations

Navigating co-parenting without court involvement

Supporting my child through transitions

Other (please specify)

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4. What challenges do you currently face in co-parenting?

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5. What format would you prefer for this workshop? (Required.)

In-person

Virtual (Zoom)

Hybrid (either option works)

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6. What days/times are generally best for you?

Weekday mornings

Weekday evenings

Saturdays

Other (please specify)

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7. What might prevent you from attending? (Check all that apply) (Required.)

Childcare

Work

Transportation

Emotional readiness

No barriers

Other (please specify)

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8. Would you like to receive more information if this workshop is offered? (Required.)

Yes

Other (please specify)

SMILE Mothers Co-Parenting Wellness Interest Survey

Question Title

* 1. Are you currently in a co-parenting situation? (Required.)

Question Title

* 2. How interested would you be in attending a Co-Parenting Relationship Wellness Workshop? (Required.)

Question Title

* 3. What topics would be most helpful for you? (Select all that apply) (Required.)

Question Title

* 4. What challenges do you currently face in co-parenting?

Question Title

* 5. What format would you prefer for this workshop? (Required.)

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* 6. What days/times are generally best for you?

Question Title

* 7. What might prevent you from attending? (Check all that apply) (Required.)

Question Title

* 8. Would you like to receive more information if this workshop is offered? (Required.)

Question Title

* 9. SMILE Mother Name:

1. Are you currently in a co-parenting situation? (Required.)

2. How interested would you be in attending a Co-Parenting Relationship Wellness Workshop? (Required.)

3. What topics would be most helpful for you? (Select all that apply) (Required.)

4. What challenges do you currently face in co-parenting?

5. What format would you prefer for this workshop? (Required.)

6. What days/times are generally best for you?

7. What might prevent you from attending? (Check all that apply) (Required.)

8. Would you like to receive more information if this workshop is offered? (Required.)

9. SMILE Mother Name: