Please enable JavaScript in your browser to complete this 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.Initials *Postcode *Date of birth *Parent focusThe following are a number of statements about you and your child. Please say how much you agree or disagree with each one.I am able to communicate respectfully with my co-parent or other carer of my child/ren *Strongly disagreeDisagreeNeutralAgreeStrongly agreeI am able to cooperate with my co-parent or child/ren’s carer *Strongly disagreeDisagreeNeutralAgreeStrongly agreeI am able to resolve a disagreement with my co-parent or child/ren’s carer *Strongly disagreeDisagreeNeutralAgreeStrongly agreeIn most situations, I listen to what my co-parent has to say without interrupting *Strongly disagreeDisagreeNeutralAgreeStrongly agreeI trust my co-parent *Strongly disagreeDisagreeNeutralAgreeStrongly agreeMental well-beingBelow are some statements about feelings and thoughts. Please tick the box that best describes your experience of each over the last 12 months.I've been feeling optimistic about the future *None of the timeRarelySome of the timeOftenAll the timeI've been feeling useful *None of the timeRarelySome of the timeOftenAll the timeI've been feeling relaxed *None of the timeRarelySome of the timeOftenAll the timeI've been dealing with problems well *None of the timeRarelySome of the timeOftenAll the timeI've been thinking clearly *None of the timeRarelySome of the timeOftenAll the timeI've been feeling close to other people *None of the timeRarelySome of the timeOftenAll the timeI've been able to make up my own mind about things *None of the timeRarelySome of the timeOftenAll the timeYour childBelow are some statements about feelings and thoughts. Please tick the box that best describes your experience of each over the last 12 months.How often does your child hear or see the arguments (including silences/an inability to communicate) between you and your co-parent/other carer? *None of the timeRarelySome of the timeOftenAll the timeHow often does your child appear withdrawn, angry, aggressive, hostile? *None of the timeRarelySome of the timeOftenAll the timeHow often does your child refuse to comply with requests at home or school? *None of the timeRarelySome of the timeOftenAll the timeHow often does your child tell you they feel scared or worried about the future because you and your co-parent/carer are arguing? *None of the timeRarelySome of the timeOftenAll the timeHow often does your child feel to blame for the arguments you have with your co-parent/carer? *None of the timeRarelySome of the timeOftenAll the timeAbout the courseCan you tell us how you heard about this course? *A friend, relative or neighbourA professional, such as a teacher or social workerA local community or faith groupA social media postVia google or another search engineA local newspaper or radio stationA poster or flierAn SFSC facilitatorOtherPlease specify how you heard from usHas a child/children's co-parent (by this we mean the other parent, or a step parent, or key adult playing a major part in bringing up your child) already attended this course? *YesNoWill a child/children's co-parent (by this we mean the other parent, or a step parent, or key adult playing a major part in bringing up your child) be attending at the same time as you? *YesNoSubmit