JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
The Mother/DAUGHTER Experience
Daughter's Survey
Sign in to Google
to save your progress.
Learn more
Which age category do you belong to?
Under 18
18-25
26-35
36-45
46-55
56-65
65+
Clear selection
How would you describe your relationship with your MOTHER?
Your answer
What is your favorite thing about your MOTHER?
Your answer
How often do you talk to your MOTHER?
Less than once a year
Less than once a month
A few times a month
Every week
Every day
Other:
Clear selection
How often do you argue with your MOTHER?
Never
Not too often
Regularly
Every time we talk
Other:
Clear selection
What do you argue about?
Your answer
Do you trust your MOTHER?
Yes
No
Other:
Clear selection
Do you feel judged by your MOTHER?
Yes
No
Clear selection
Do you wish you were closer to your MOTHER?
Yes
No
Other:
Clear selection
Do you admire your MOTHER? Why or Why not?
Your answer
Do you feel supported by your MOTHER?
Always
Sometimes
Rarely
Never
Other:
Clear selection
Do you feel controlled by your MOTHER?
Not at all
Sometimes
Always
Other:
Clear selection
Does your MOTHER listen to you?
Yes
No
Clear selection
Do you feel appreciated by your MOTHER?
Always
Usually
Sometimes
Never
Other:
Clear selection
How often do you do activities with your MOTHER?
Never
Yearly
Monthly
Weekly
Daily
Other:
Clear selection
Do you share your problems with your MOTHER?
Yes
No
Sometimes
Clear selection
Do you think your MOTHER understands you?
Yes
No
Sometimes
Clear selection
Do you usually agree or disagree with your MOTHER?
Disagree
Neutral
Agree
Clear selection
Do you enjoy spending time with your MOTHER?
As much as I can get
Only in small amounts
No
Other:
Clear selection
Do you usually feel drained or energized after being with your MOTHER?
Your answer
Do you talk about sexuality with your MOTHER?
Yes
No
Clear selection
Do you talk about your personal relationships with your MOTHER?
Yes
No
Clear selection
Do you talk about work with your MOTHER?
Yes
No
Clear selection
If you could change one thing about your MOTHER, what would it be?
Your answer
Do you have anything you want to share with your MOTHER, but find it too hard?
Your answer
Do you talk about health with your MOTHER?
Yes
No
Clear selection
Do you talk about death with your MOTHER?
Yes
No
Clear selection
Do you like your MOTHER?
Yes
No
Clear selection
How did/do you discipline your Daughter?
Your answer
How did your Mother discipline you?
Your answer
How were you taught to deal with disappointment?
Your answer
In what way would you like to be more like your MOTHER?
Your answer
Is there something you want from your Mother that you are not getting?
Your answer
Would you attend a workshop or retreat with your Mother?
Yes
No
Maybe
Clear selection
Is there anything else you would like to add?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
