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Hello:
You are invited to participate in Community Incorporation, Inc. (CIC's)  parent survey. In this survey, there will be more than 500 people asked to complete a survey that asks questions about your child's unsupervised time.  It will take approximately15 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact CIC at (908) 290 3107 or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
 
In what municipality do you live?
 
 
 
 
Parents’ available time - # hours a week you can spend with your children
 
Less than 5 hours a week
 
Less than 10 hours a week
 
Less than15 hours a week
 
20 hours or more a week
 
 
 
Number of hours a week your child(ren) attend school including travel time.
 
Less than thirty-five (35) hours a week
 
35 Hours or more, but does not exceed 45 hours a week
 
My child does not attend school
 
 
 
Are your employed
 
Full-Time
 
Part-Time
 
Unemployed
 
 
 
My family structure consist of
 
Single Parent household
 
Married with more than one parent in the household
 
Co-habituating
 
 
 
List the gender and age of each child in your household
 
 
 
 
Check all that apply.
 
You or your child(ren) currently participate in mental health treatment to include drug and alcohol treatment.
 
Participate in Local Police Department programs for unsupervised youth
 
Participate in Dept. of Recreation program for unsupervised youth
 
Participate in a community or faith-based program for unsupervised youth.
 
 
 
Not that it provides your preference, rather it is an arrangement for your children. Are your child(ren) in self care – spending time alone and/or are unsupervised with a regular occurrence.
 
YES
 
NO
 
 
 
Parents’ /Guardian's educational attainments?
 
 
Did not complete high school
 
Obtained a GED
 
Completed HS.
 
Attended, but did not complete higher educational institution
 
Attended & completed higher educational institution.
 
Thank you and send an email to [email protected] with recommendations for activities/services for youth to fill the hours that a child is unsupervised!
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