Parent Survey - Monmouth County, April 2021
Thank you for taking a few moments to  complete this brief anonymous survey. Your responses will be used to create our upcoming programming to support you and your children.  
Nicole Nolan, LCSW Mental Health Association of Monmouth County
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School or School District *
Ages of your children (check all that apply) *
Required
Please rate your level of concern on the following topics, as they relate to your children and their peers *
Not at all concerned
Slightly concerned
Neither concerned or unconcerned
Concerned
Very Concerned
Bullying/Cyber Bullying
School Avoidance
Increased Drinking/Partying
Vaping/Drug Use
Suicidal Ideation/Risk
Increased Sports Performance Anxiety
Eating Disorders
Self-Harm
Dating Violence
Changes in Overall Behavior
Academic Impact of Virtual Learning/Pandemic
Social Media Use
Social Impact of Virtual Learning/Pandemic
Anxiety/Depression
Sleep Disturbances
Missing Developmental Milestones
Video Game Addiction
Please rate your level of concern on the following topics, as they related to you: *
Not at all concerned
Slightly concerned
Neither concerned nor unconconcered
Concerned
Very Concerned
Loss of Job
Lack of "Me" Time
Drinking/Substance Use
Anxiety
Anger/Resentment
Changes in Parental Roles
Working from Home
Increased Arguing with Partners
Loss/Change of Identity
Depression
Burn-Out
Finances
Co-Parenting Challenges
How many times in the past academic year have you thought your child(ren)'s behavior may indicated that they need additional help/support? *
How many times in the past academic year have you thought that the current circumstances in country/world may be negatively impactin your child(ren) and/or their peers? *
What do you feel is the number one challenge facing parents and their children right now? *
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