Parent-Child Relationship Inventory

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OMB No: ???: Exp Date: ???

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arent-Child Relationship Inventory

Directions: The statements below describe different ways some parents feel about their children. For each statement, decide how you feel. If you strongly agree, fill in the circle underneath on the answer sheet. If you agree, fill in the circle under that one. If you disagree, fill in the circle underneath that one on the answer sheet. If you strongly disagree, fill in the circle beneath that one. Please make sure that you are filling in the circles under the correct response on the answer sheet.

Use a pen (black or blue), and completely fill in the bubble corresponding to the appropriate response. If you want to change your answer, cross out the first mark and fill in another response.

Try to respond to all of the statements. If you aren’t sure how you feel, mark the response that comes closest to your feelings at this time. There are no right or wrong answers.

	Strongly Agree	Agree	Disagree	Strongly Disagree
My child generally tells me when something is bothering him or her.	O	O	O	O
I have trouble disciplining my child.	O	O	O	O
I get as much satisfaction from having children as other parents do.	O	O	O	O
I have a hard time getting through to my child.	O	O	O	O
I spend a great deal of time with my child.	O	O	O	O
When it comes to raising my child, I feel alone most of the time.	O	O	O	O
My feelings about being a parent change from day to day.	O	O	O	O
Parents should protect their children from things that might make them unhappy.	O	O	O	O
If I have to say no to my child, I try to explain why.	O	O	O	O
My child is more difficult to care for than most children are.	O	O	O	O
I can tell by my child’s face how he or she is feeling.	O	O	O	O
I worry a lot about money.	O	O	O	O
I sometimes wonder if I am making the right decisions about how I raise my child.	O	O	O	O
B Public reporting burden of this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Clearance Officer; 1600 Clifton Road NE, MS D-24, Atlanta, Georgia 30333; ATTN: PRA (???). eing a parent comes naturally to me.	O	O	O	O

	Strongly Agree	Agree	Disagree	Strongly Disagree
I sometimes give in to my child to avoid a tantrum.	O	O	O	O
I love my child just the way he or she is.	O	O	O	O
I get a great deal of enjoyment from all aspects of my life.	O	O	O	O
My child is never jealous of others.	O	O	O	O
I often wonder what the rewards are in raising children.	O	O	O	O
My child tells me all about his or her friends.	O	O	O	O
I wish I could set firmer limits with my child.	O	O	O	O
I get a great deal of satisfaction from having children.	O	O	O	O
I sometimes feel if I don’t have more time away from my child I’ll go crazy.	O	O	O	O
I regret having children.	O	O	O	O
Children should be given most of the things they want.	O	O	O	O
My child is out of control much of the time.	O	O	O	O
Being a parent isn’t as satisfying as I thought it would be.	O	O	O	O
I feel that I can talk to my child on his or her level.	O	O	O	O
My life is very stressful right now.	O	O	O	O
I never worry about my child.	O	O	O	O
I wish my child would not interrupt when I’m talking to someone else.	O	O	O	O
Parents should give their children all those things the parents never had.	O	O	O	O
I generally feel good about myself as a parent.	O	O	O	O
I sometimes feel overburdened by my responsibilities as a parent.	O	O	O	O
I feel very close to my child.	O	O	O	O
I’m generally satisfied with the way my life is going right now.	O	O	O	O
I have never had any problems with my child.	O	O	O	O
I can’t stand the thought of my child growing up.	O	O	O	O

Please turn over and answer questions on back of page.

	Strongly Agree	Agree	Disagree	Strongly Disagree
My child would say that I am a good listener.	O	O	O	O
I often lose my temper with my child.	O	O	O	O
I am very involved with my child’s sports or other activities.	O	O	O	O
My spouse and I work as a team in doing chores around the house.	O	O	O	O
I have never been embarrassed by anything my child has said or done.	O	O	O	O
My child really knows how to make me angry.	O	O	O	O
Parents should be careful about whom they allow their children to have as friends.	O	O	O	O
When my child has a problem, he or she usually comes to me to talk things over.	O	O	O	O
My child never puts off doing things that should be done right away.	O	O	O	O
Being a parent is one of the most important things in my life.	O	O	O	O
Women should stay home and take care of the children.	O	O	O	O
Teenagers are not old enough to decide most things for themselves.	O	O	O	O
My child keeps many secrets from me.	O	O	O	O
Mothers who work are harming their children.	O	O	O	O
I feel I don’t really know my child.	O	O	O	O
I sometimes find it hard to say no to my child.	O	O	O	O
I wonder if I did the right thing having children.	O	O	O	O
I would really rather do a lot of other things than spend time with my child.	O	O	O	O
It’s a parent’s responsibility to protect his or her child from harm.	O	O	O	O
Sometimes I wonder how I would survive if anything were to happen to my child.	O	O	O	O
I miss the close relationship I had with my child when he or she was younger.	O	O	O	O
	Strongly Agree	Agree	Disagree	Strongly Disagree
My child rarely talks to me unless he or she wants something.	O	O	O	O
A father’s major responsibility is to provide financially for his children.	O	O	O	O
It’s better to reason with children than to just tell them what to do.	O	O	O	O
I spend very little time talking with my child.	O	O	O	O
I feel there is a great distance between me and my child.	O	O	O	O
For a woman, having a challenging career is just as important as being a good mother.	O	O	O	O
I often threaten to punish my child but never do.	O	O	O	O
If I had it to do over, I would probably not have children.	O	O	O	O
Husbands should help with child care.	O	O	O	O
Mothers should work only if necessary.	O	O	O	O
Some people would say that my child is a bit spoiled.	O	O	O	O
I worry a lot about my child getting hurt.	O	O	O	O
I seldom have time to spend with my child.	O	O	O	O
Below age four, most children are too young to be in a regular preschool or day-care program.	O	O	O	O
A woman can have a satisfying career and be a good mother too.	O	O	O	O
I carry a photograph of my child in my wallet or purse.	O	O	O	O
I have a hard time letting go of my child.	O	O	O	O
I feel I don’t know how to talk with my child in a way that he or she really understands.	O	O	O	O
Having a full-time mother is best for a child.	O	O	O	O

FOR STUDY USE ONLY
ID Number
Date Interviewed	Month Day Year	Interviewed by