![1600200-314325<br />PARENTS’ SURVEY<br />To your view, which three of the following forms of violence occur most frequently in the family life:<br />Hitting (actual physical abuse); Swearing, offence;Hitting an object; Threats; Intimidation; Others…………………….Use of obscene words;<br />Do you think there is a connection between violent behaviour on the children’s /youngsters’ side and their family environment? <br />To a very low extentTo a low extentTo a moderate extentTo a high extentTo a very high extentSocio-affective climate (tense relationships between parents, violence against the child on the parents’ side, affectively unsafe environment); Dismantled families;Poor economic conditions (insufficient income);Size of the family (many children);Low educational level of the parents<br />3. Has your child ever told you that, while at school, someone tried to:<br />Yes If yes,explain whyNoInsult themHit themOffend themThreaten to hurt themTell them they were uselessDamaeg their belongingsHumiliate them in front of their classmatesThreaten to kill themHurt them with a knife, weapon or some other objectForce them to engage into sexual intercourse Steal their money or other personal belongings<br />Do you think that seeing extremely aggressive movies and TV programmes, playing violent computer games, etc. can influence children’s conduct and generate violent school and family behaviour? <br />yes noI don’t know<br />Do you think that frequent exposure to violence can cause children and youngsters to become insensitive to it?<br />yes noI don’t know<br />Are there any violent neighbours (children, adults) in your area?<br />,[object Object]](https://image.slidesharecdn.com/parentssurvey-101010093026-phpapp02/85/parents-survey-1-320.jpg)
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- 2. If you do, we kindly ask you to explain how their behaviour is violent (physical violence, verbal violence, threats, swearing, use of obscene words, etc.)
- 3. ...............................................................................................................................................................................................................................................................................................Age…….. Sex Female Male<br />Surname and first name…………………………….<br />Profession ………………………<br />