QUESTIONAIRE

Place a tick in the box next to your answer of choice

1.What is your sex?

•Male ( )
•Female ( )

2.How long have you been a single parent?

• 1-2 years ( )

• 3-4 years ( )
• 5-6 Years ( )
•Over 6 years ( )

•3.What is your occupation?

(Please Specify)

•4. What cause you to become a single parent?

•Divorce ( ) •Abuse from other parent ( )
•Death ( ) •Migration ( )

•5. How many children do you have?

•1-2 ( )
•3 ( )
•4-5 ( )
•Over 5 ( )
•6. How do you support your family?

•Employed ( ) •Family support ( )

•Self-employed ( ) •Friends ( )

•7. How frequently do you get support?

•Every week ( )
•Every two weeks ( )
•Every month ( )

•Other________________________________________________________________________
(Please Specify)

•8. How long have you been a single parent?

•1-2 years ( )

•3-4 years ( )
•5-6 years ( )
•Over 6 ( )

•9. Have being a single parent ever was an issue?

( Please Specify)
•10. Do you spend time with your child/children?

•Yes ( )
•No ( )
•11. If yes, how much time do you spend per day?

•1 hour ( )
•2 hours ( )
•3-4 hours ( )
•above 5 hours ( )

•12. Do your child/children attend school?

•Yes ( )
•No ( )

•13. If yes how frequently do they attend school?

•Once per week ( )
•Daily ( )
•Two to three times per week ( )

•Other________________________________________________________________________
(Please Specify)

•14. Do your child/children help around in the house?

•Yes ( )
•No ( )

•15. Have there been any major problem within the family?
•Yes ( )
•No ( )