2010 Stepfamily
Satisfaction and Suspected Parental Alienation Experience Survey.
This is absolutely the most momentous
family survey being circulated. According to the National Stepfamily Resource Center website, U.S., because of a Census Bureau decision, many estimates of marriage, divorce
and remarriage were derived from the 1990 Census and earlier data sources. Through this International project, as advocates for strong parent-child relationships
and healthy shared-parenting, we look forward to providing the results of this study to legislators, researchers, families and educators. We desire to
create more satisfying parent-child relationships through support and services
awareness and to reduce the risk of child abuse and the academic neglect that is often paired with distracted parenting. The
results of this survey aim to put the controversy about parental alienation to rest. Thank you for participating in the survey and for creating awareness of its purpose.
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Instructions:
The survey takes about 15 minutes to complete. Copy and paste into a new E-mail, then add your answers and return to:
By postal mail, send to: StepfamilySystems.com,
Research Response,1101 California Avenue, Suite 100, Corona, CA 92881: Don't worry if it prints out of alignment, we are able
to discern line breaks.
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Survey completed by: ____ Biological parent ____ stepparent ____ unmarried partner ____ grandparent ____ other:
____ adult son ____ adult daughter (I had ___ stepfather, ___ stepmother, ___ both).
State of residence/Country:
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PART 1 of 2 Satisfaction with Home Environment
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1. What are the characteristics of a successful stepfamily?
2. How do you define satisfaction?
3. Have you ever or do you plan on receiving support services?
a. If no, why not?
b. If yes, what type of support services have you had (_X_), are
you considering (_C_):
___ individual therapy ___ couples therapy ___ family therapy
___ stepffamily coaching ___shared-parenting
consulting/assimilation management planning ___ self-help:
___ peer support through on-line chats or websites
c. Would you like a list of support service providers
mailed or E-mailed to you?
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I am presently:
4. Engaged
– how long? 5. Married –
how long? 6. We ___ did / ___ did not have premarital
counseling.
7. ___ Cohabitating –
how long? 8. ___ Never Married 9.
___ Widow/Widower: Yrs since death:
10. ___ Previously Married/ ___Separated:
___ Father/step ___: how many marriages?
How many children? Yrs since ___divorce or ___separation:
___ Mother/step___: how
many marriages? How many children?
Yrs since ___divorce or ___separation:
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11. Custody Arrangements
___ are / ___ are not satisfactory / fair to me. General outline of custody arrangements. (For example: every other
month, plus four weeks of summer, every other Christmas and Easter in odd and even years, respectively):
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11(A): What process was used for determining dissolution details including alimoney, child support and custody arrangements:
___ Litigation ___ Mediation ___ Self-help, no representation ___ Paralegal service Other:
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12.
My child’s other parent is: ____ remarried; ____ cohabitating; ____ dating; ____ living with family
(or) ____friends; ___ incarcerated
13. My relationship with the other biological parent: 10 very cooperative
to 1 very unpleasant, or 0 for parent absent for the most recent twelve months or more.
(Best - 10
9 8 7 6 5
4 3 2 1 -
Not good) ___
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14. I believe the other parent ___has / ___has not targeted ___ parent
/ ___ stepparent with alienating behaviors and is damaging ___ my / ___ our relationship/s with the children. (If applicable, please complete Part 2)
14. a. I believe the ___ boyfriend, ___ girlfriend, ___ stepparent is
being lied to and believes they are supporting my chld's other parent.
14. b. I believe the ___ boyfriend, ___ girlfriend, ___ stepparent is the cause of our problems because:
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15.
My relationship with his/her new partner is: 10 9
8 7 6 5 4
3 2 1 0
16. My new mate’s
relationship with my former spouse is: 10 9
8 7 6 5 4
3 2 1 0
A. I believe a stepparent has overstepped ___ his / ___ her boundaries by thie following behavior:
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17. Communication:
a. between households ___is /___ is not an issue; b. between adults and children ___is / ___ is not an issue.
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18.a
. ___ You experience stress during custodial transitions 18.b. ___ Your spouse shows
anxiety during custodial transitions
19. ___ The children show anxiety
when leaving: 19.a. ___ those at home full-time, or 19.b. ___ those
changing households
20.
___ The children show anxiety when arriving: 20.a. ___ those
at home full-time, or 20.b. ___ those changing households
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21.
Finances: ___ are / ___ not a concern. We are a ___
single- / ___ two-income household, and ___ have / ___ have not experienced
___ job loss / ___ reduced income in the most recent two years. We ___ have / ___have not lost a
home to foreclosure in the last two yrs.
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22. Child Support:
a. Our household ___ pays, ___ receives, ___ pays and receives ___ regularly (or) ___
irregularly. Clarification, if needed:
b. Child support payment status is: ___ current, ___ behind,
___ seldom current, ___seldom behind
c. Child support received status is: ___ current, ___ behind,
___ seldom current, ___ seldom behind
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23. Education: My highest level of education: ___ High School, ___ Some College, ___ Vocational; ___
2, ___ 4, ___ 6+ yrs degree:
Spouse’s
___ High School, ___ Some College, ___ Vocational; ___ 2, ___ 4, ___ 6+ yrs degree:
My ex ___
High School, ___ Some College, ___ Vocational; ___ 2, ___ 4, ___ 6+ yrs degree:
Ex’s new partner ___ High
School, ___ Some College, ___ Vocational; ___ 2, ___ 4, ___ 6+ yrs degree:
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24. Housing:
Each child:
a. ___ has / ___does not have own bed here; ___ has /___ does not have own bed at other home.
b. ___ shares / ___ does not share bedroom ___ here; ___ shares / ___
does not share bedroom at other home.
c.
___ has / ___ does not have own drawers and closet space here; ___ has /___ does not have own drawers and closet space there.
d. ___ prefers to live out of own suitcase while ___ here / ___ there.
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25. Boundaries: We ___ have / ___ haven’t talked about the importance of physical and emotional
boundaries & sensitivities because:
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26. We ___ do / ___ do not have family traditions
of our own.
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27. We ___ do / ___ do not worship / religious study together. Religion/denomination of faith:
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28.
Do you feel your child has under-performed academically due to distressed stepfamily or shared-parenting dynamics?
Why?
29. Is there or has there ever
been a problem with receiving your children’s report cards and attending school functions?
30. Their school ___ does / ___ does not make a good effort to keep me
informed. ___They do / ___ do not return calls I make.
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31. Life events and concerns
most recent two years (this household = TH / other household - OH):
___ Separation from present spouse ___
Intimacy Issues
___ New litigation over child support
___ Anxiety / Depression ___
Commitment to therapy
___ New litigation over custody
___ Other major health
issues
___ Resistance to therapy
___ Concerns for legal fees repayment
___ Active duty, military / ___ returned
___ Drug / ___ Alcohol Use ___
Poor grades in school
___ Out-of-marriage pregnancy/birth ___
Jail / prison, ___ returned
___ Domestic Violence
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32. We do not have any difficulties with
the other household. It took _____ (number) years to achieve harmonious relationships. We
believe things are working well for us today because:
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Part 2 of 2, if applicable: Parental Alienation or Divorce-Related Malicious Mother
Syndrome Experience
(If not applicable, please skip to bottom of the survey,
"To Conclude")
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Attentive parental care and respect for the child’s need to love and feel loved by the other parent and his/her
family is, in this researcher’s opinion,
the first step toward reducing the number of children at-risk for post-divorce academic neglect, emotional or physical abuse.
“The manner
in which parents resolve conflict has been determined to affect child adjustment,” reports the American Psychological
Association website. Furthermore, the
1997 American Coalition for Fathers and Children Shared Parenting Tool Kit reported, “A number of general research studies consensus indicate that children
adjust much more successfully in the immediate post-divorce period when a strong, positive relationship
is maintained with both parents (Cowan, 1982; Hetherington, Cox & Cox, 1982; more).
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The issues of deadbeat
dads and wicked stepparents have overshadowed an area of equal or greater importance – the alienating parent, which early research has suggested is more frequently
carried out by mothers; this study will be closely looking at this as we strive to receive a minimum of 10,000 surveys. The
manipulation, programming or brainwashing of the children can be difficult to prove. Douglas Darnall, Ph.D., author of “Divorce Casualties: Protecting
your Children from Parental Alienation,” defines parental alienation as any constellation of behaviors, whether conscious
or unconscious, that could evoke a disturbance in the relationship between a child and the other parent.”
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Our children:
The other parent:
___ Parrot negative statements made by the other parent ___
Attempts to interrupt visitation / my custodial periods
___ Display nonverbal messages of fear or panic
___ Engages in whispering/finger pointing when I am present
___
Make statements they could not have possibly constructed ___
Sends Email or Calls more than weekly or without reason
___ Have difficulty showing excitement or enjoyment with me ___
Mishandles money, then tells the children I do not pay enough
___ Lied to officials regarding what goes on at our home ___
Has not forgiven me for
having an affair
___ Show uncertainty about expressing
or receiving affection ___
Does not tell the children when I call or give them my mail
___ Get mouthy and make threats over small disagreements ___
Does not inform me of school progress / ___ functions
___ Appear to have been recruited to keep secrets ___
Has told lies about me / my spouse to friends, family, school
___ Demonstrate an alliance with other household and
refuses to make things right by correcting the stories
___ Have been caught snooping for income and other information ___
Has had boyfriend / girlfriend make harassing contact / threats
___ Makes good parent / bad parent remarks ___ Has
personally made threats toward me, and ___ my partner
___ Have extreme emotional outbursts ___
Has taken excessive legal action against me
___ Are ordered to call other parent’s spouse “mommy / daddy” ___
Exaggerates / twists facts to appear victimized by me/my partner
___ Ask why I am mean to mommy / daddy ___
Had an affair, did not take responsibility and lied about facts
___ Say they do not want to see my parents anymore ___ Discourages
the children from saying "I love you"
___ Tell lies to friends,
family and teachers ___
Withholds the children until I meet demands
___ Children elbow/hush/guard each others words ___
Insists the kids do not call my spouse "mom/dad"
___ Cannot take a call without parent nearby
___
Insists the kids call his/her spouse "mom/dad"
___ Makes derrogatory remarks about my parents, disrupting the
grandparen/grandchild relationship
___ Expressions of love are withheld from the children
PAUSE for reflection. As you have noted what is applicable
to the children and other parent's behavior, have you found any of the above also apply to your own or your
current partner's behaviorial choices? Conversational research indicates there is a point reached when many target-parents
tire of being alienated and they will walk away or distance themselves from parent-child relationships in frustration,
or they begin to respond in-kind with similar choices out of fear of losing the respect of their children or the
parent-child relationship altogether if they do not defend themselves. If any also apply to you or your spouse, please
go back and place + (plus) symbol by the appropriate selections.
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In your opinion, rank these in order of detriment
to the overall development of children: ___ arguing parents who yell and scream but end up working together; ___ silent parents
who feel walking away it is the only way of attaining peace; ___ alienating parents who strategise
"underground" so that the children are unaware of the maniulation; ___ parents who find ways around
paying child support
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To conclude, you may add up to 250 words (please use word count and print) of information you believe would be relevant
to the study. If you believe alienation has occured, do you believe it is possible for the targeted parent/s to
experience restored relationships with the children once the children are grown?
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___ I choose
to submit anonymously, and realize because its integrity cannot be verified nor can any clarifications be made, if needed,
my
Survey
will be analyzed with other anonymous submissions, separate from the collective, published findings of identified group.
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___ I realize confidential practices are maintained among researchers. No identifying
information is sold. The surveys become property of StepfamilySystems.com and only collective results of the study will publish.
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___ I would
like to participate in this annual study for the 15 year period. The results could benefit the children and grandchildren.
___ E-mail my surveys to:
___ Postal mail my surveys to:
___ My phone number, for verification
or clarification purposes only, is: (
)
___ You may call me anytime for stepfamily-related
research purposes. I understand they will be used for a dissertation project.
No identifying information will be sold under any circumstances.
All
rights reserved. No part of this survey may be reproduced by any process whatsoever for use apart from the individual survey
responder
without
the written permission of the research survey developer, StepfamilySystems.com. Permission to copy for school-based participation
is granted; surveys must be returned exclusively to StepfamilySystems.com.
Survey alterations are strictly prohibited. Terms of use and website Disclaimer on last page of StepfamilySystems.com website.
Revised 01/30/2010.