Home Environment - Child Survey example

This is an example Home Environment - Child Survey survey. This survey includes questions like:

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1) Who do you live with?
2) What grade are you in?
3) Do your parents have any rules about what time you have to go to bed on school nights?
  • Yes
  • No
4) Do your parents have any rules about how late you can stay out with your friends?
  • Yes
  • No
5) Do your parents have any rules about doing your homework? For instance, do you have to finish your homework before you can watch TV?
  • Yes
  • No
6) How often do you ask your parents for help with homework?
7) How often do your parents include you in discussions about important decisions that need to be made?
8) How often would you say your parents listen to your side of an argument?
9) How often would you say that you have a voice in making rules that concern you?
10) How often do you talk with your parents about things that happen at school?
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