Single Parent Survey Question Title * 1. Select which relates to you: I am currently a single parent (primary caregiver) of one or more children under the age of 18 I have previously been a single parent (primary caregiver) of one or more children under the age of 18 Question Title * 2. Select which relates to you in your single parenting situation: Biological mother Biological father Other (please specify) Question Title * 3. Reason for singleness death separation divorce never married Other (please specify) Question Title * 4. Select how many children you had/have as a single parent 1 2 3 4 5+ Question Title * 5. Rate the degree of support (financially) shown to your child/ren by the other parent none minimal inconsistent adequate fully supportive Other (please specify) Question Title * 6. Rate the degree of support (socially) shown to your child/ren by the other parent none minimal inconsistent adequate fully supportive Other (please specify) Question Title * 7. What would you say are your greatest concerns as a single parent? (Choose up to three) Maintaining adequate housing Unaware of what assistance is available Sustainable income Lack of social assistance My child’s well-being Affordable childcare Social support for myself Other (please specify) Question Title * 8. In your opinion, what role would you like to see CrossRoads Church increase their involvement in with single parent homes? (Choose up to three) childcare networking help with social assistance family relational support, whether program based or otherwise job/education counselling financial counselling courses/programs/counsel specific to single parents programs geared at helping children through divorce/separation etc. Question Title * 9. Are there any programs at CrossRoads Church you have found very welcoming and conducive to single parent homes? Be Specific Yes No Which Ones? (please specify) Question Title * 10. Are there any programs at CrossRoads Church you have found not conducive to single parent homes? Yes No How so? (please be specific) Question Title * 11. Would you be willing to participate in a discussion on single parent homes and ways that CrossRoads Church could be more supportive? Yes No If Yes, please leave us your name and contact information Question Title * 12. Further Comments Done
