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.

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* Are you :

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* What age group is the targeted parent ?

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* Gender of the targeted parent :

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* What nationality is the targeted parent?

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* In which region does the targeted parent lives ?

2 - Marital Status

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* Before the separation, the targeted parent was :

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* Please indicate the year of separation :

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

3 - Status of child custody

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

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