Age:____Male:____Female:____Married?_____Divorced?____
Do you have Children?____ #_____
Age when parents divorced?____
Custodial Parent? Father?____Mother?____
# of Siblings?____Younger?____Older?____
Your Highest Level Of Education?____
As A Child/Teen/Young Adult Did You:
Use Drugs?____Alcohol?____Have Behavior Problems?____
Did your parents have the same rules?____
Were you asked questions regarding the other parent?____
Did your parents frequently fight in front of you?____
Did your parents speak negatively about one another?____
Did parents ask you to keep secrets from the other?____
Did your parent allow things the other parent would not?____
Did both parents attend your school/sports functions?____
Did you feel pulled into adult problems?____
Regular Visits w/ Non-Custodial Parent?____
Did you feel forced to take sides?____
Did either parent blame the other for financial problems?____
Did you feel like the mediator?____
Were you raised in any religion?____
2007-02-13
13:43:45
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6 answers
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asked by
Jenna W
1
in
Pregnancy & Parenting
➔ Parenting