Teenage Discipline Survey

This survey is part of a research project for a Family Studies class. Your answers will be kept absolutely confidential. Please answer the questions honestly and completely. Thank you very much for your time.

  1. Male _____ Female _____

    2.  

  2. Grade: _____

    3.  

  3. School mark average last semester:

    4.

    50-: _____

    50-59: _____

    60-69: _____

    70-79: _____

    80-89: _____

    90+: _____

     

  4. Do you do any extra-curricular activities? Yes _____ No _____

  5. If yes, please specify (e.g. private lessons, clubs, sports teams):

    6.

     

  6. Do you currently have a part-time job? Yes _____ No _____

    7.  

  7. Are you thinking of going into post-secondary education? Yes _____ No _____

    8.  

  8. In later life, what do you plan to enter as a career? (check appropriate)

    9.

    Executive/managerial _____

    Professional (doctor, lawyer, etc) _____

    Sales/marketing _____

    Tradesman/craftsman _____

    Service/customer support _____

    Computer technical/engineering _____

    Academic/educator _____

    Other technical/engineering _____

    Homemaker _____

    Own company _____

    Clerical/administrative _____

    Other ___________________________

  9. Rate yourself in your aptitude for interpersonal skills:

    10.

    Superior

    Above Average

    Average

    Limited

    Poor

     

  10. Rate how close your relationship is with your parents:

    11.

    Extremely Close

    Very Close

    Close

    Not Really Close

    Not Close At All

     

  11. Rate how often these types of punishment/discipline have been used on you.

    12.
     

    Always/

    Almost Always

    Often

    Sometimes

    Seldom

    Never

    Love withdrawal

    Discussion

    Forgiveness/Correction

    Corporal/Physical

    Time-out

    Community work

    Lecturing

    Privilege withdrawal

    Yelling

    Other (please specify):

    ___________________

    Other (please specify):

    ___________________

     

  12. Do you think that your parents are being reasonable when they punish/discipline you? (Circle)
    13.

    Always

    Often

    Sometimes

    Seldom

    Never

     

  13. Rate whether you think these punishment/discipline are effective at your age.
 

Always/

Almost Always

Often

Sometimes

Seldom

Never

Love withdrawal

Discussion

Forgiveness/Correction

Corporal/Physical

Time-out

Community work

Always/

Almost Always

Often

Sometimes

Seldom

Never

Lecturing

Privilege withdrawal

Yelling

Other (please specify):

___________________

Other (please specify):

___________________