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  2. 2017
  3. February
  4. U
  5. Untitled
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Questions marked with a * are required Exit Survey
 
 
* How many days of the week are you home when your child is home?
 
1 to 2 days
 
3 to 4 days
 
5 to 7 days
 
Never
 
 
 
* How many days of the week is your child home before you?
 
1 to 2 days
 
3 to 4 days
 
5 to 7 days
 
Never
 
 
 
* When your child is home with you how does she/he spend most her/his time?
 
Inside his/her room with door closed
 
With the family watching TV together
 
Inside his/her room with door open
 
Outside with friends
 
Alone but where family members can see him/her
 
 
 
* Are you married to the other biological parent of your child?
 
Yes
 
No
 
 
 
* How often is your child in trouble at school?
 
Once a week
 
Twice a week
 
Every day
 
Once a month
 
Once a year
 
Never
 
 
 
* How ofter is your child in trouble at home?
 
Once a week
 
Twice a week
 
Every day
 
Once a month
 
Once a year
 
Never
 
 
 
* What is your preferred method of punishment?
 
Talking
 
Grounding items
 
Grounding outings
 
Spanking
 
Timeout
 
 
 
* Does your child live ...?
 
in a two-parent home
 
in a single-parent home
 
in step-parent homes
 
with a guardian or other relative
 
 
 
* In the last month have you and your child done any of the following activities together (choose all that apply)?
 
Gone to a movie
 
Played a sport
 
Gone to a concert or related activity
 
Played board games
 
Not spent time together

 
 
 
* How does your child react when in trouble?
 
Accepts responsibility and punishment
 
Denies responsibility but takes punishments
 
Denies regardless of evidence provided
 
Denies until shown evidence
 
Blames others but admits to act
 
Stays quiet (shuts down)
 
Becomes agitated, yells, may sometimes be aggressive
 
Aggressive and defensive