Portrait of Quebec Families affected by Parental Alienation - The Targeted Parent's Perspective

This survey takes approximately 15 minutes

The Carrefour Parental Alienation is conducting a survey to collect information, on an anonymous basis, about the targeted parents in order to better understand the consequences of parental alienation for the child and the targeted parent.

Please note that the parent who uses alienating behaviors is identified as the « preferred parent » in this survey.

All questions preceded by an asterisk(*) are required.

We thank you for your participation.

1 - General Information

Please note that any person answering this survey, must do it from the targeted parent's perspective.

Question Title

* Are you :

A targeted parent

A new spouse

Other (grandparents, etc.)

Question Title

* What age group is the targeted parent ?

0 to 24 years old

25 to 29 years old

30 to 39 years old

40 to 49 years old

50 to 59 years old

60 or more

Question Title

* Gender of the targeted parent :

Female

Male

Question Title

* What nationality is the targeted parent?

Canadian

Autre (veuillez préciser)

Question Title

* In which region does the targeted parent lives ?

2 - Marital Status

Question Title

* Before the separation, the targeted parent was :

Married

Common-law spouse

Autre (veuillez préciser)

Question Title

* Please indicate the year of separation :

Question Title

* What is the current family status of the targeted parent?

Single

In a relationship

Blended family (with at least one child from a previous union)

Complexe blended family (with child(ren) from a previous union and with child(ren) from de couple)

Single-parent

Autre (veuillez préciser)

3 - Status of child custody

Question Title

* At which stage is the legal process for child custody?

No legal process in place

Upcoming legal process

Ongoing

Finished