This document contains a 35-item questionnaire assessing perceptions on issues related to family, community, and school. Respondents are asked to indicate their level of agreement on a 5-point scale from "Disagree Strongly" to "Agree Strongly" for statements about topics like family values, social responsibility, environmentalism, and education. It also includes questions on gender, age, and highest level of schooling completed. The purpose is to understand opinions on these topics and evaluate oneself as a model of citizenship.

1. Family, Community and School: the troika of my Values!
2014-1-PT01-KA201-001041
Project funded by European Union
1
FCS3VQ
The statements listed below describe perceptions about issues related to family life. There are
no right or wrong answers, only opinions. You are asked to express your feelings about each
statement by indicating whether you (DS) Disagree strongly, (DS) Disagree mildly, (NK) Feel
neutral or do not know, (AM) Agree mildly, or (AS) Agree strongly. Please indicate your opinion
by marking with a cross (X) the alternative that best describe your sincere answer. The questionnaire
is anonymous and all the information will be kept confidential. Please confirm that you responded
to every item.
DS DM NK AM AS
Disagree strongly Disagree mildly Neutral/Do not know Agree mildly Agree Strongly
DS DM NK AM AS
1. Doing things together matters to us as a family.
2. In my family it is important to forgive those who upset
us.
3. Healthy lifestyle is encouraged in our family.
4. One should always pay their bills on time.
5. Our family is a source of support if any of us has a
problem.
6. In my family we rarely discuss principles and behavior
norms.
7. Excessive use of modern means of communication can
destroy personal relationships.
8. It is unnecessary that parents know what their children do
in their free time.
9. Everyone has to contribute to social welfare.
10. Learning new things about other cultures is fostered in our
family.
11. Everyone´s opinion is taken into account when making
decisions in the family.
12. Doing sports is considered a healthy habit in my family.
13. Successful people do not necessarily have to work hard.
14. In my family we easily give up when we face a new
challenge.
15. Having meals together is valued in our family.
16. Passing on traditions to younger generations is important
in my family.
17. Socializing with people from different cultures is valued
in our family.
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2. Family, Community and School: the troika of my Values!
2014-1-PT01-KA201-001041
Project funded by European Union
2
DS DM NK AM AS
Disagree strongly Disagree mildly Neutral/Do not know Agree mildly Agree Strongly
DS DM NK AM AS
18. Everyone should have equal access to resources and
activities.
19. We discuss the media’s portrayal of sexuality
20. If possible, it is better to use public transportation to
protect the environment.
21. Working with someone who has religious views that are
different to mine is a problem in our family.
22. Voting in elections is important in my family.
23. We feel uncomfortable when we owe money.
24. Talking about birth control method is avoided in my family
25. For environmental reasons we should only print what is
really necessary.
26. A family is only a mother, a father and children
27. Parental control of the internet use is unimportant in our
family
28. Space exploration is a waste of time and money
29. Doing tasks without being rewarded is encouraged in my
family.
30. Following rules at school/work is the way to success.
31. Recycling is a principle in our family.
32. In our family talking openly about sexuality is
unacceptable.
33. For us it is important to participate in the community by
volunteering
34. Good education is the most important thing for a person’s
future
35. Having healthy meals is a practice in our family.
36. Adults understand teenagers’ needs
A further question (Please mark your answers with a X)
When compared to people of your age how do you evaluate yourself has a model of citizenship?
(A) Very much satisfied (B) Satisfied (C) Alike (D) Unsatisfied (E) Very much unsatisfied
Socio-demographic information
Sex: Male___ Age: _____ Which was the highest level of school completed?___________________
Female___
Please confirm that you responded to every item. Thanks a lot for your participation!