New Members Survey

New Member Survey

Age of children (please separate each age with a comma)*
Employment Status*
- Full Time Outside of Home
- Part Time Outside of Home
- Stay at Home Parent
- Work at Home Parent
Relationship Status*
- Married/Common Law
- In a Relationship
- Single
Where do you feel your family is right now in terms of understanding each other and connectedness?*
With 1 being not very connected and 5 being very connected.
1 2 3 4 5
Where do you feel your family is right now in terms stress level?*
With 1 being not very stressed and 5 being very stressed.
1 2 3 4 5
What is the most pressing challenge in your home right now?*

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