Fatherhood Post-Program Survey

  • 1. How likely is it that your current romantic relationship will be permanent?

  • 2. How likely is it that you and your romantic partner will be together in 6 months?

  • 3. How obligated do you feel to continue this romantic relationship?

  • 4. In general, in an argument, I really listen to the other person’s point of view and do not try to “read her/his mind.”

  • 5. In general, in a fight, I am able to see the other person’s point of view and really understand her/his point.

  • 6. When angry, I am able to accept that the other person has their own point of view even if I don’t agree with that view.

  • 7. I am able to identify an abusive/unhealthy relationship.

  • 8. I believe that it is important to save money from every paycheck.

  • 9. I believe it is necessary to carefully track how I spend money.

  • 10. I tell my romantic partner things I appreciate about her/him and how much I care bout her/him.

  • 11. I am a good sensitive listener.

  • 12. I show genuine concern and compassion when my romantic partner needs support.

  • Below is a list of personal challenges that some people experience. Think about the challenges that you had in the past month.

  • Have you had a problem with…

  • Please rate how often each statement has been true for you in the past 2 weeks.

  • How often has each statement been true?

  • If you were not able to pay full amount, why?

  • A co-parent is a person who shares with you a primary role in caring for and parenting your children. For the questions below about co-parenting, who will you be thinking about? (If you have more than one co-parent, choose only one to answer about.)

  • 1. How often do you and your child(ren)’s other parent argue about child rearing?

  • 2. How often do you and your child(ren)’s other parent argue about time spent with child(ren)?

  • 3. How often do you and your child(ren)’s other parent argue about child support?

  • 4. How often do you think your child(ren) hears you or their other parent say negative or bad things about each other?

  • 5. My knowledge of ways to manage stress?

  • 6. My knowledge of ways to manage anger?

  • 7. I have a good relationship with my co-parent(s).

  • 8. Right now, I see myself as being pretty successful.

  • 9. At this time, I am energetically pursuing my goals.

  • 10. I can think of many ways to reach my goals.

  • 11. I expect to devote a significant amount of my time and energy to raising my child(ren).

  • 12. I expect to be involved in the day-to-day matters of raising my child(ren).

  • 13. Becoming involved in the day-to-day details of rearing children involves costs in other areas of my life which I am unwilling to make.

  • 14. I share an affectionate, warm relationship with my child.

  • 15. If upset, my child will seek comfort from me.

  • 16. My child values his/her relationship with me.

  • 17. When you are with your child(ren), how often do you give praise?

  • 18. When you are with your child(ren), how often do you give reasons why the rules should be obeyed?

  • 19. When you are with your child(ren), how often do you explain the consequences of their behavior?

  • 20. I am committed to making full child support payments each month.

  • 21. I am committed to maintaining civil interactions with child support enforcement personnel.

  • 22. My child(ren) is/are performing well at school.

  • 23. My knowledge of community resources where I can receive help is…

  • 24. My commitment to seek informal support (e.g., from friends, family, etc.) regularly is…

  • 25. I could find the money to pay for a financial emergency that costs about $1,000.

  • 26. I rarely worry about being able to meet normal monthly living expenses.

  • 27. I do not measure my family’s financial success by our ability to match the spending of our friends or neighbors.