Parenting Stress Demographic Information Question Title * 1. What is your gender? Female Male Other Question Title * 2. What is your age? 15-24 25-34 35-44 45-54 Question Title * 3. What is your marital status? Single Married Separated or Divorced In a relationship but not married Other (please specify) Question Title * 4. Do you have support in parenting? Yes, my partner and I co-operate and work as a team I have paid assistance (nanny, babysitter,etc) I have a lot of help from my mother and/or other family members I feel supported by my friends I feel very much responsible for the parenting decisions I am truly a single parent and do it all on my own I consult professionals often (GP, Psychologist, Child Health Nurse, Lactation consultant, etc) Other (please specify) Question Title * 5. If you are separated/divorced, do you still co-parent the children? Yes - shared arrangements We co-operate and make decisions together I am the primary caregiver and the other parent has access I have access only No contact with the child/ren Not applicable Question Title * 6. If there are two adults in the home, are they both the biological parents of all children in the home? My partner and I are the biological parents of all children in our home. My partner and I have adopted our children. My partner and I are part of a blended family (containing children from prior relationships). Other (please specify) Question Title * 7. Do you work outside the home? Fulltime More than three days per week Half-time or less No Question Title * 8. What is your family's annual income? $0-40,000 $40,000-65,000 $65,000-95,000 $95,000-130,000 $130,000-160,000 $160,000+ Question Title * 9. How many children do you have? 1 2 3 4+ Next
