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I am conducting
a brief survey on the American family for a presentation in my English class
at Georgia Perimeter College. This survey should only take 2-4 minutes to
complete. Please fill out this form and give it back to me.
Your name will not be used for this survey.
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| Part
1: The makeup of your family and your mother's family 1. Put a check by ONE of the following that best describes your family. ______ traditional family (two parents who are married and share the same children) ______ blended family (one parent and one step-parent) ______ single-parent family 3. How many children are there in your family (both from parents and step-parents)? ___________ 5. Who works outside the home in your family? ________ Father only ________ Mother only ________ Both parents work Part 2: Attitudes about the family In your opinion, is the American family today stronger or weaker than it was 20 years ago? _________ Stronger _________ Weaker _________ No difference What is the biggest problem facing the American family today? _________ Divorce _________ Problems with money _________ Disrespect of children to their parents _________ Lack of parental involvement and attention _________ Other:___________________________ Part 3: Demographics 1. What is your approximate age? ______ under 18 ______ 18 - 25 ______ 25 - 30 ______ 30 - 40 ______ 40 - 50 ______ above 50 Thank you for taking the time to fill out this survey! |
2. My mother's family could be best described as: _______ traditional family (two parents who are married and share the same children) _______ blended family (one parent and one step-parent) _______ single-parent family 4. How many children are there in your mother's family (both from parents and step-parents)? ___________ 6. Who worked outside the home in the family of your mother? ________ Father only ________ Mother only ________ Both parents worked outside the home In your opinion, is the American family today stronger or weaker than it was 50 years ago ? __________ Stronger __________ Weaker __________ No difference 2. What is the national status of your parents? ______ native-born in the United States ______ immigrants from another country |