Youth Connect 5 Parent/Carer Pre-Programme Survey Name(required) Email(required) Postcode(required) Gender(required) Please select… Male Female Prefer not to say Ethnicity(required) Please select… Asian or British Asia – Indian Asian or British Asia – Pakistani Asian or British Asia – Bangladeshi Asian or British Asia – Any other Asian background Black or Black British – Caribbean Black or Black British – African Black or Black British – Any other Black background Mixed – White and Black Caribbean Mixed – White and Black African Mixed – White and Black Any other Mixed background White – British White – Irish White – Any other White background Chinese Any other ethnic group Which best describes your family situation?(required) Please select… I have children of primary school age only I have children of high school age only I have children of primary and high school age On a scale of 1 to 10 with 1 for Poor and 10 for Excellent, please complete the following questions… Rate your understanding of Mental Health & Wellbeing(required) Please select… 1 2 3 4 5 6 7 8 9 10 How confident are you in supporting your child's emotional wellbeing?(required) Please select… 1 2 3 4 5 6 7 8 9 10 How would you rate the resilience of your family?(required) Please select… 1 2 3 4 5 6 7 8 9 10 Rate your confidence/knowledge in applying positive strategies/actions in helping your child to understand themselves(required) Please select… 1 2 3 4 5 6 7 8 9 10 How well do you listen and talk to your child?(required) Please select… 1 2 3 4 5 6 7 8 9 10 Below are some statements about feelings and thoughts. Please select the best option that best describes your feelings in the last 2 weeks. I have been feeling positive about the future(required) Please select… None of the time Rarely Some of the time Often All of the time I have been feeling useful(required) Please select… None of the time Rarely Some of the time Often All of the time I have been feeling relaxed(required) Please select… None of the time Rarely Some of the time Often All of the time I have been dealing with problems well(required) Please select… None of the time Rarely Some of the time Often All of the time I have been thinking clearly(required) Please select… None of the time Rarely Some of the time Often All of the time I have been feeling close to other people(required) Please select… None of the time Rarely Some of the time Often All of the time I have been able to make up my own mind about things(required) Please select… None of the time Rarely Some of the time Often All of the time Send Δ Share this:FacebookTwitterMoreSkypeWhatsAppEmailPrintLike this:Like Loading...