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    Parental Anxiety Questionnaire

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    smaranikatripathy
    This document contains a 17-question parental questionnaire about a child's education, daily routine, academics, extracurricular activities, and parent-child relationship. The questions address topics such as how much time the parent spends helping with schoolwork, their child's strengths and weaknesses, how openly the child expresses themselves, conflicts at home over academics, and signs of stress or anxiety in the child. The parent is asked to rate themselves on decision making abilities for their child's education and how frequently they engage in various parenting activities.

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    Parental Anxiety Questionnaire

    Uploaded by

    smaranikatripathy
    41 views2 pages
    This document contains a 17-question parental questionnaire about a child's education, daily routine, academics, extracurricular activities, and parent-child relationship. The questions address topics such as how much time the parent spends helping with schoolwork, their child's strengths and weaknesses, how openly the child expresses themselves, conflicts at home over academics, and signs of stress or anxiety in the child. The parent is asked to rate themselves on decision making abilities for their child's education and how frequently they engage in various parenting activities.

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    This document contains a 17-question parental questionnaire about a child's education, daily routine, academics, extracurricular activities, and parent-child relationship. The questions address topics such as how much time the parent spends helping with schoolwork, their child's strengths and weaknesses, how openly the child expresses themselves, conflicts at home over academics, and signs of stress or anxiety in the child. The parent is asked to rate themselves on decision making abilities for their child's education and how frequently they engage in various parenting activities.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    41 views2 pages

    Parental Anxiety Questionnaire

    Uploaded by

    smaranikatripathy
    This document contains a 17-question parental questionnaire about a child's education, daily routine, academics, extracurricular activities, and parent-child relationship. The questions address topics such as how much time the parent spends helping with schoolwork, their child's strengths and weaknesses, how openly the child expresses themselves, conflicts at home over academics, and signs of stress or anxiety in the child. The parent is asked to rate themselves on decision making abilities for their child's education and how frequently they engage in various parenting activities.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Parental Questionnaire

    Name of Child:

    Date:

    Instructions: Below you will find a series of statements with which you may agree or disagree. Using the scale,
    please indicate the degree of your agreement by selecting the number that corresponds with each statement.

    1. Does your child have a Routine to follow every day?


     Yes
     No
    2. How many hours do you sit with your child to make them study each day?
     Less than 3 Hours
     Around 5 Hours
     More than 5 Hours
    3. How much time apart from studying do you spend with the child every day?
     Less than 1 Hour
     Around 2 Hours
     More than 2 Hours

    4. How do you spend your free time with your child?

    _______________________________________________________________

    5. Do you worry too much about your child's academic performance?


     Yes, A lot
     Mostly
     Sometimes
     Rarely
    6. What's your child's average score this year?

    _______________________________________

    7. What do you think are your child's weak points?

    _____________________________________________________________

    _____________________________________________________________

    8. On a scale of 1-10, please rate yourself for the ability to make decisions about your child’s education. (1 being the
    lowest and 5 being the highest)

    1 2 3 4 5 6 7 8 9 10
    9. On a scale of 1-10, how openly does your child express their thoughts and feelings with you? (1 being never and
    10 being always?

    1 2 3 4 5 6 7 8 9 10

    10.What does your child enjoy doing during his free time? (Hobbies, Activities, etc)

    _______________________________________________________________

    11. How often does your conversation with your child include academics?
     Always
     Often
     Sometimes
     Rarely
    12. Do you have trouble disciplining your child?
     Yes
     No
     Sometimes
    13. How often is there conflict at home due to your child’s learning abilities?
     Always
     Often
     Sometimes
     Rarely

    14. How often do you let your child participate in the extra-curricular activities he wants?

     Always
     Often
     Sometimes
     Rarely

    15. How often do you pay attention to what your child is saying to you?

     Always
     Often
     Sometimes
     Rarely

    16. Have you recently noted any sleep disturbances (waking up repeatedly, unable to fall asleep)?

     Always
     Often
     Sometimes
     Rarely

    17. Have you noted any palpitations, excessive sweating, shortness of breath recently?

     Always
     Often
     Sometimes
     Rarely

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