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Survey on family relationships
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Survey on family relationships http://kwiksurveys.com/app/rendersurvey.asp?sid=avgq3xeyfxfwv5g3...
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How many members is your family made up of (including yourself)?
5* Which is true about you and your family?
I live with both of my parents, in a traditional family
I live with one of my parents
I sometimes live with my mother, sometimes with my father
I don't live with my parents, but with other relatives
I don't live with my parents or with other relatives
6* What are the most important problems that your family worries about in your
case?
Please rank the items below. Make sure that the most important one is the
first in your list.
health issues
financial issues
teenage issues
school issues
communication issues
7* How often do you go out with your family?
rarely
monthly
fortnightly
weekly
8* How much time do you spend with your family (apart from sleeping)?

<1h/day
1-2 h/day

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3-4 h/day
5-6 h/day
9* Mark how often you do the following
Never Sometimes Often Always
How often do you do the chores at
home?

How often can you express your
view in your family?

How often are you included in the
family decisions that concern you?

How often do you interfere in your
family members' lives?

How often do you talk about your
problems with your family?

How often do you fight with your
family?

10* The word that best describes your relationship with your family is...
ideal
good, sincere
tense
very difficult
11* How often do your family members ask you about school?
once a month
at weekends
twice a week
daily
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12* The person(s) you can talk openly to in your family is/are...
your mother
your father
your brother/sister
your grandmother/grandfather
Other (Please Specify)
13* How honest can you be with your family?
very honest
relatively honest
not very honest
never honest, I lie all the time
14* How would you describe your well-being...
Very Bad Bad Neutral Good Very Good
in general
at home
at school
Survey on family relationships http://kwiksurveys.com/app/rendersurvey.asp?sid=avgq3xeyfxfwv5g3...
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