1. What is your age?
a. 18-22
b. 23-27
c. 28-32
d. 33-37
2. What is your gender?
a. Male
b. Female
c. Prefer not to say
3. How would you describe the term “Parenting Style”?
4. What would be your parent’s parenting style?
1.
2.
3.
4.
Authoritative (high warmth, high control)
Authoritarian (low warmth, high control)
Permissive (high warmth, low control)
Neglectful (low warmth, low control)
e.
5. As you grew up,
a. Your relationship with your parents become stronger? or
b. You became distant with your parents slowly
6. With which statement do you agree
a. My parents were consistent showed love support towards me.
b.
7. How would you scale your emotional well being during your childhood?
8. In the scale of 1 to 5, how much do you think you’re your adulthood is affected by your
childhood?
9. Which statements do you find relatable due to your childhood trauma?
. I find it hard to create social bonds.
a. I find it hard to create interpersonal relationships
b. I suffer from anger issues.
c. I isolate myself when I feel stressed
d. Its difficult for me to express my feelings
10. As an adult, have you ever taken any kind of professional help related to your childhood
experience?
1. Yes
2. No
11. Which statement do you agree with as an adult?
1. I would want to experience a different parenting style
2. I would want the same parenting style