TEENAGE PARENTING QUESTIONNAIRE
Age of your child: Sex:
Please (×) mark appropriate answer (can be multiple answers also).
1. Do you face any crisis bringing up your teenager?
Not at all Minor difficulties Major difficulties
out of my control
2. Does the problems you face bringing up your teenager put a
burden on you or the family as a whole?
Not at all A little A medium amount A great deal
3. What is the main issue you are facing bringing up your teenager?
Rebellion Indifference Poor performance in studies
Other (please specify) ______________
4. How much your teenager value your advice?
Always Disobeys sometimes Obey me sometimes
Never listen to me
5. Do you take your teenager seriously in day to day life?
Yes,very much A little No at all (he/she is still a child)
6. Does your teenager has any of these problems?
Lying Stealing Violent Alcoholism/smoking
Unwanted relations
7. Does any of these present in your family?
Divorce/separation(with your spouse)
Alcoholism/Addictions(in parent of teenager)
Psychiatric problems Chronic medical illness
8. Whom your child trust the most now?
Me Teacher A relative Friend
Other(please specify) _________
9. What all things influence your teenager’s decision making?
School/academics Family Media
Friends/peer pressure
10. How much do you think influence of friendship over your
teenager’s life?
Not at all influenced by friends A little in a good way
A little in a bad way It is destroying his/her life
11. Does older teenager/youth affect your teenager?
A big deal Average Very rarely No at all
12. How much time does your teenager spend with mobile/
smart phone?
Less than 30 min 30-60minutes 1hour-2hour
more than 2 hours
13. When family usually meet together?
Meal time Prayer Meeting occasional
Our family never meet together
14. How much do you think your teenager can handle stress /
face difficulties?
Very well A little Not at all
15. How well your teenager performing in school/academics?
Excellent Fair Average Below average
Very poor Not attending
16. How do you assess your teenager’s morality considering
her/his respect towards elderly, relations with opposite sex,
attitudes towards authorities(school, government, laws etc)?
Strong morality Average Minimal Desperate
17. What do you usually do to correct your teenager?
Beats Shouts Scolding without shouting
Speaking Abstain privilages(like food, money)
Do not try to correct
18. Any other concerns to share?
_______________________________________
19. This questionnaire completed by
Father Mother
Legal guardian __________(specify the relation)