How are you currently feeling in your role as a parent? More stressed than usual Average Less stressed than usual What is the age range of your kid(s)? Select all that apply. I'm Expecting 0-18 months 19 months-2 years 3-5 years 6-8 years 9-11 years 12-14 years 15-17 years Above 17 What is your relationship status? Single Dating Currently engaged Married Commitment, not married Other What is your gender? Male Female I do not identify What is your age? Below 20 20s 30s 40s 50s 60s Are any of these factors currently affecting your family? Select all that apply. Anxiety Depression Behavioral issues Frequent tantrums Anger issues Tension between members Conflict between me and my partner Grief and loss ADHD Separation or divorce Autism spectrum disorder A medical diagnosis Blended family dynamics Eating issues Sleep issues Aggressive behaviors Sibling conflict Difficulty connecting with one or all of my kids other I struggle to stay consistent in my discipline and boundaries with my kids. Strongly Agreed Agree Neutral Disagree Strongly Disagree I feel overwhelmed by my kid's big emotions. Strongly Agreed Agree Neutral Disagree Strongly Disagree Parenting issues are one of the top conflicts between me and my partner. Strongly Agreed Agree Neutral Disagree Strongly Disagree I find myself preoccupied with worry about my kid's future. Strongly Agreed Agree Neutral Disagree Strongly Disagree I feel weighed down by fear that I'm failing as a parent. Strongly Agreed Agree Neutral Disagree Strongly Disagree I find myself preoccupied with worry about my kid's future. Strongly Agreed Agree Neutral Disagree Strongly Disagree I feel weighed down by fear that I'm failing as a parent. Strongly Agreed Agree Neutral Disagree Strongly Disagree I often doubt my parenting decisions. Strongly Agreed Agree Neutral Disagree Strongly Disagree I feel concerned about my kid's development. Strongly Agreed Agree Neutral Disagree Strongly Disagree I'm struggling to connect with my kid(s). Strongly Agreed Agree Neutral Disagree Strongly Disagree I have a difficult time regulating my own emotions especially when parenting. Strongly Agreed Agree Neutral Disagree Strongly Disagree I feel like my kid(s) is out of control. Strongly Agreed Agree Neutral Disagree Strongly Disagree This stage of parenting is not what I thought it would be. Strongly Agreed Agree Neutral Disagree Strongly Disagree Since we became parents, my relationship with my partner has fallen apart. Strongly Agreed Agree Neutral Disagree Strongly Disagree Not applicable I feel like nothing I do makes a difference with my kid(s). Strongly Agreed Agree Neutral Disagree Strongly Disagree Submit
