Parent Survey

Please take a few minutes to help the library find ways to service parents of teens. We are in the process of establishing needs and assets here in order to develop programs and activities for teens and their significant adults. We appreciate your ideas and input.

1.	What are the ages of your children?

2.	Where do they attend school?

Please check all of the statements that are true for you and/or your child:

•	I work full time
•	There is usually an adult at home at the end of the school day
•	I feel good about my child’s friendships
•	My child comes right home after school
•	My child completes homework and projects independently
•	My child hangs out with friends after school
•	My child participates in extra-curricular or organized after school activities on a regular basis
•	I am not really sure how my child spends his/her free time
•	I feel that there are enough safe and appropriate things for kids to do after school in Wellfleet
•	I do not think that there are enough safe and appropriate things for kids to do after school in Wellfleet

(OVER PLEASE!!)
Please check any statement that is true for you:
•	I am worried about potential drug and alcohol use
•	I wonder how to be a firm, yet supportive parent
•	I am not sure what “normal” is when it comes to teen behavior
•	I am worried about potential early sexual activity
•	I wish my child would take school more seriously
•	I would like to learn how to build my child’s self esteem
•	I am concerned about the way my child spends time after school and on weekends
•	I sometimes feel isolated and unsupported as a parent
•	At times I feel as though I have failed as a parent

Please put a check next to any activities which would interest you as a parent
•	A support group to connect with other parents of teens in Wellfleet
•	A Parent-Teen discussion group
•	A Parent-Teen book group
•	Guest speakers to address the issues involved with parenting teens
•	A support group for parents of teens who might be abusing alcohol or drugs