e.
$ 50,001.00 or more
10. How many brothers and/or sisters do you have?
a. 0
b. 1-2
c. 3-4
d. 5-6
e. 7 or more
11. Were you ever required to baby-sit your brothers and sisters?
a. Never
b. Occasionally
c. Often
d. Very Often
e. Does not apply
12. How do you feel about taking care of your brothers and sisters?
a. Hate
b. Resentment
c. Duty
d. Like
e. Does not apply
13. Do you think there should be punishment of any kind in the home?
a. Never
b. Occasionally
c. Often
d. Very Often
e. Always
14. At what age were you first punished?
a. 1-4
b. 5-8
c. 9-12
d. 13-16
e. 17-20
15. At what age were you last punished?
a. 1-4
b. 5-8
c. 9-12
d. 13-16
e. 17-20
16. Who administered most of the punishment you received?
a. Father
b. Mother
c. Brother or Sister
d. Step-parents
e. Grandparents
17. On an average, how often were you punished over a period of one week?
a. 0
b. 1-3
c. 4-6
d. 7-10
e. 11 or more times
18. How was punishment administered to you?
a. Privileges withdrawn
b. Scolding
c. Hand spankings
d. Belt whipping
e. Kitchen items (spoons, spatulas, cords)
19. When you were punished, did it leave visible marks?
a. Never
b. Occasionally
c. Often
d. Very often
e. Always
20. Do you feel the punishment you received was justified?
a. Never
b. Occasionally
c. Often
d. Very Often
e. Always
21. Do you think you were punished to excess?
a. Never
b. Occasionally
c. Often
d. Very Often
e. Always
22. How did you feel towards your parents right after punishment was
administered?
a. Uncertain
b. Resentment
c. Anger
d. Hate
e. Love
23. Do you feel your parents favored your brothers or sisters over you?
a. Never
b. Occasionally
c. Often
d. Very Often
e. Does not apply
24. Do you feel like you are an unwanted child?
a. Never
b. Occasionally
c. Often
d. Very Often
e. Always
25. Do you feel you were a physically abused child?
a. Never
b. Occasionally
c. Often
d. Very often
e. Always
26. Do you feel you were a mentally abused child?
a. Never
b. Occasionally
c. Often
d. Very Often
e. Always
27. Do you feel that your parents resent you?
a. Never
b. Occasionally
c. Often
d. Very often
e. Always
28. Do you respect your parents?
a. Never
b. Occasionally
c. Often
d. Very Often
e. Always
29. How would you teach your children discipline?
a. Rewarding desired behavior
b. Ignoring the problem
c. Privileges withdrawn
d. Spanking
e. Whipping
30. Would you raise your children the same way you were, in respect to
punishment?
a. Never
b. Occasionally
c. Often
d. Very Often
e. Always
31. Given a choice, how would you rather be punished?
a. Privileges withdrawn
b. Scolding
c. Hand spankings
d. Belt whipping
e. Kitchen items (spoons, spatulas, cords)
32. At what age do you think a child should be able to take care of its
toilet needs?
a. 7-12 mos.
b. 13-18 mos.
c. 19-24 mos.
d. 25-30 mos.
e. 31-36 mos.
33. At what age do you think a child should stop crying when told to do so?
a. 1-6 mos.
b. 7-12 mos.
c. 13-18 mos.
d. 19-24 mos.
e. Never
34. For what purpose were you punished the most?
a. Undesirable toilet habits
b. Disobedience
c. Lying
d. Disregard for other people property
e. Stealing
35. If you knew of a definite child abuse case, would you report it to the
authorities?
a. Never
b. Occasionally
c. Often
d. Very often
e. Always
36. What is your marital status?
a. Unmarried
b. Legally married
c. Living with someone
d. Separated or divorced
e. Widow
37. At what age were you first married?
a. 19 or younger
b. 20-21
c. 22-23
d. 24-25 or older
e. Unmarried
38. How often have you been married?
a. Once
b. Twice
c. Three times
d. Four or more times
e. Does not apply
39. How many times did you move after you were married?
a. 1-4
b. 5-8
c. 9-12
d. 13-16
e. Does not apply
40. How many children do you have?
a. 0
b. 1
c. 2
d. 3
e. 4 or more
41. What age were you when your first child was born?
a. Under 16
b. 17-19
c. 20-22
d. 23-25 or older
e. Does not apply
42. During the birth of your children did you experience:
a. Pain
b. Unpleasantness
c. Pleasure
d. Ecstasy
e. Does not apply
43. How long do you plan to breast-feed your children?
a. Not at all
b. 1-4 mos.
c. 5-8 mos.
d. 9-12 mos.
e. Does not apply
44. How long did you (or encourage your mate to) breast-feed your children?
a. Not at all
b. 1-4 mos.
c. 5-8 mos.
d. 9-12 mos.
e. Does not apply
45. Do you punish children when you are angry?
a. Never
b. Occasionally
c. Often
d. Very often
e. Does not apply
46. When you punish children, do you leave visible marks?
a. Never
b. Occasionally
c. Often
d. Very often
e. Does not apply
47. As a parent, do you think you punish your children to excess?
a. Never
b. Occasionally
c. Often
d. Very often
e. Does not apply
48. Do you feel your children take up too much of your time?
a. Never
b. Occasionally
c. Often
d. Very often
e. Does not apply
49. Do you ever get angry at your children?
a. Never
b. Occasionally
c. Often
d. Very often
e. Does not apply
50. What is your opinion towards this questionnaire?
a. Very good
b. Useful
c. Interesting
d. Uninteresting
e. Worthless
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