Introduction to SFSC: reg form

The information below helps us understand what impact this course has, if it helps parents, and what things we need to improve.

We will keep this information anonymously (without your personal details) and will not share it.

We can tell you more about privacy and how we manage data here.

Programme code *

Your facilitator should provide you with this. The format for this should be: W4/001, W4/002 etc.

Initials *

Please can you add the first letter of your first name and the first letter of your surname. For example if your name is Faith Brooks, then please put FB as your initials.

Postcode *

Have you ever taken a parent education course before? *

What is your birth language? *

This is the first language you learnt to speak as a child.

Children (0 to 5 years)

Children (6 to 18 years)

Adults (19 +)

What is your current parenting status or relationship to the child? *

Two-parent family
Single parent
Step parent
Foster parent
Grandparent
Relative/Family friend
Non-resident Parent
Educator/advocate
Other

(tick all that apply)

If other, please describe.

What is your age group?

What is your ethnic group? *

If other, please describe.

How do you define your gender

If other, please describe.

Is your gender identity the same as the one assigned to you at birth?

Which of the following best describes your sexual orientation?

Lesbian
Gay
Bisexual
Heterosexual

Faith / Religion / Belief

If other, please describe.

What is your household income level (per year)

Under £5000
£5000 - £10,000
£10,000 - £20,000
£20,000 - £45,000
Over £45,000

Schooling completed

Primary school
Secondary school (16)
Secondary school (18)
College degree

Why are you taking this course? *

To become a better parent
Having problems with children
Court order
To learn about drugs/violence
Other

Tick all that apply

If other, please describe.

How did you hear about this course? *

Flyers/announcements
Friend/relative
Internet search
Newspaper/radio
Referral
Other

If other, please describe.

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