Survey Questionnaire For Parental Attachment and Autonomy
Survey Questionnaire For Parental Attachment and Autonomy
Survey Questionnaire For Parental Attachment and Autonomy
Direction: Please read each of the following items carefully, thinking about how it relates to your life, and then indicate
how true it is for you. Use the following scale to respond:
1 2 3 4 5
1 2 3 4 5
1. I feel like I am free to decide for myself how to live my life.
2. I feel pressured in my life.
3. I generally feel free to express my ideas and opinions.
4. In my daily life, I frequently have to do what I am told.
5. People I interact with on a daily basis tend to take my
feelings into consideration.
6. I feel like I can pretty much be myself in my daily situations.
7. There is not much opportunity for me to decide for myself
how to do things in my daily life.
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Direction: Please respond to each item by filling in the number on a scale of 1 to 5 that best describes your
parents specifically your mother or your father. Please provide a single rating to describe your mother and
father and your relationship with them during childhood.
1 2 3 4 5