Anuhya

Questionnaire to understand Parents children attachment

 

For younger children in home

 

  1. In our home, each child is loved equally.                                   Y              S              N

 

  1. Dad and Mom usually agree.                                                       Y             S            N

 

  1. I am usually treated with kindness and respect.                     Y              S              N

 

  1. I can have fun with all members of my family.                          Y              S              N

 

  1. I feel like my family listens to me.                                                 Y              S              N

 

  1. I feel important, special, and very loved most of the time.          Y              S              N

 

  1. The person at home who brings me the most joy is probably _________________.

 

  1. The person at home whom I get most upset with is probably _________________.

 

  1. If I could change one thing about my family, it would be…

 

_____________________________________________________________________________

 

  1. The most fun we have as a family is when we…
  2. __________________________________________________________________________
  3. __________________________________________________________________________
  4. __________________________________________________________________________

 

  1. I feel really stressed out when…
  2. __________________________________________________________________________
  3. __________________________________________________________________________
  4. __________________________________________________________________________

 

  1. I look forward to many things including…
  2. __________________________________________________________________________
  3. __________________________________________________________________________
  4. __________________________________________________________________________

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