Adolescent Daughter- Mother Communication

Daughter’s Questionaire

The form is strictly confidential and the answers will only be used for research purposes. Only
summaries of all responses are published.

Reply by continuing the sentence, and tell a few sentences why you think so. Do not reflect
on how the matter might be formulated or said better. The first thought is the best. Answer
exactly the way you feel. You should answer this questionnaire without your mother present.

1. My
Mother .....................................................................................................................
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2. My mother and I do /
make ............................................................................................................

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3. When I ask a question or explain something, my mother ..................................................

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4. My mother and I quarrel about ..........................................................................................

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5. With my mother it is difficult to talk about ......................................................................

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6. About my relation with my girl friends my

mother ........................................................................
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7. When I have a boy friend, my mother ...............................................................................

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8. In using my individual freedom, my

mother ...................................................................................

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9. Due to the social pressure my

mother .............................................................................................

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10. On the topic of my growing up (In terms of my age, physical appearance,

behaviours, words)

my
mother .....................................................................................................................
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11. In order to get me ready to marriage, my

mother ..................................................................

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12. In choosing my husband, my

mother ...........................................................................................

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13. When talking about sexuality, my mother ..…................................................................

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14. If possible, I want to change my mother’s following

characteristics ...........................................

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