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Middle child syndrome questionnaire
By completing this questionnaire you will be helping to collect information which may be used as part of a University research study.
PLEASE CHOOSE THE ANSWERS THAT APPLY:
Q.1. How many children do you have? 1. 2. 3. 4.
Q.2. What sex are they? 1. M/F 2.M/F 3.M/F 4.M/F
Q.3. What are their ages at present? 1st:(0-5) (5-10) (10-15)(15-20) 2nd:(0-5)(5-10)(10-15)(15-20) 3rd:(0-5)(5-10)(10-15)(15-20) 4th:(0-5)(5-10)(10-15)(15-20).
Q.4. Are you: (a)two-parent or (b)single-parent family?
Q.5. If a single parent family are you: (a)female (b)male
Q.6. If a two-parent family are either of you a step-parent (a) yes (b)no.
Q.7. What ages are (a)you: 20-25. 25-30. 30-35. 35-40. 40+.
(b)partner: 20-25. 25-30. 30-35. 35-40. 40+.
Q.8. Have either you/your partner spent significant periods away from the children: (a) you (b)partner (c)both (d)neither.
Q.9. Do you or your partner work? (a)you (b)partner (c)both (d)neither.
Q.10. If so, is this: (a)full-time (i)you (ii)partner
(b)part-time (i)you (ii)partner.
Q.11. Are any of the children more: (a)extrovert:1st.2nd.3rd.4th.
(b)introvert:1st.2nd.3rd.4th.
Q.12. Do you find any child more difficult than the others?
If so which: 1st.2nd.3rd.4th.
Q.13. Are any of the children: (a)better at home than school: 1st.2nd.3rd.4th.
(b)better at school than home: 1st.2nd.3rd.4th.
(c)good in both: 1st.2nd.3rd.4th.
(d)problem in both: 1st.2nd.3rd.4th.
Q.15. Are any of the children hyperactive? 1st.2nd.3rd.4th.
Q.16. Has there been any school problems:
(a)truancy: 1.2.3.4.
(b)school refusal: 1.2.3.4
(c)suspension: 1.2.3.4
Q.17. Are any of the children more aggressive? 1st.2nd.3rd.4th.
Q.18. Do or have any of the children attended a school for special needs? If so which one: 1st.2nd.3rd.4th.
Q.19. Have any of the children got a 'Statement of Special Educational Needs'? 1st.2nd.3rd.4th.
Q.20. Have there been any other children prior to your first in the family at present? (a)yes (b)no
Q21. Are any of the children more cuddly/dependent than the others? If so which one: 1st.2nd.3rd.4th.
I would like to thank you in advance for taking part and assure you that this information will only be used for the purpose of the study. Please email the answers. Thank you happy Parenting.
Middle child syndrome questionnaire
Send E-Mail to: tracie.warrington@btopenworld.com
Copyright © 2001 Tracie Charl Warrington. All Rights Reserved