General Parent Stress Survey - OhioGuidestone Research Portal

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Date *

Person Completing Form *

Mom
Dad
Other

If other, please explain *

Form Number *

#1
#2
#3
6 Month Follow-up
12 Month Follow-up
Other

If other, please explain *

Questionnaire for Parents/Caregivers

Please read each statement carefully. There are no right or wrong answers!

Select the answer that best fits: Strongly Agree, Agree, Not Sure, Disagree, Strongly Disagree

I often have the feeling that I cannot handle things very well *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

I find myself giving up more of my life to meet my children's needs than I ever expected *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

I feel trapped by my responsibilities as a parent *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

Since having this child, I have been unable to do new different things *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

Since having this child, I feel that I am almost never able to do things that I like to do *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

I am unhappy with the last purchase of clothing I made for myself *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

There are quite a few things that bother me about my life *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

Having a child caused more problems than I expected in my relationship with my spouse/parenting partner *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

I feel alone and without friends *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

When I go to a party, I usually expect to not enjoy myself *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

I am not as interested in people as I used to be *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

I do not enjoy things as I used to *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

My child rarely does things for me that make me feel good *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

When I do things for my child, I get the feeling that my efforts are not appreciated very much *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

My child smiles at me much less than I expected *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

Sometimes I feel my child doesn't like me and doesn't want to be close to me *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

My child is very emotional and gets upset easily *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

My child doesn't seem to learn as quickly as most children *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

My child doesn't seem to smile as much as most children *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

My child is not able to do as much as I expected *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

It takes a long time and is very hard for my child to get used to new things *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

I feel that I am... *

A very good parent
A better than average parent
An average parent
A person who has some trouble being a parent
Not very good at being a parent

I expected to have closer and warmer feelings for my child than I do, and this bothers me *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

Sometimes my child does things that bother me just to be mean *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

My child seems to cry or fuss more often than most children *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

My child generally wakes up in a bad mood *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

I feel that my child is very moody and easily upset *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

Compared to the average child, my child has a great deal of difficulty in getting used to changes in schedules or changes around the house *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

My child reacts very strongly when something happens that my child doesn't like *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

When playing, my child doesn't often giggle or laugh *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

My child's sleeping or eating schedule was much harder to establish than I expected *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

I have found that getting my child to do something or stop doing something is *

Much harder than I expected
Somewhat harder than I expected
About as hard as I expected
Somewhat easier than I expected
Much easier than I expected

Think carefully and count the number of things which your child does that bothers you. For example, dawdles, refuses to listen, overactive, cries, interrupts, fights, whines, etc. *

There are some things my child does that really bother me a lot *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

My child's behavior is more of a problem than I expected *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

My child makes more demands on me than most children *

Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree

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