Following up from my last "Have You Ever Felt Like Screaming?" entry, I wanted to forward the following Mother's Questionnaire that was completed by nearly 200 women from coast to coast in my preparation to write When You Feel Like Screaming - Help for Frustrated Mothers; published by Harold Shaw.

Perhaps you would like to take it as well and compare your results with the collated national sampling, I'll share the Survey Results next time.

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MOTHER'S QUESTIONNAIRE

I am writing a book that will give mothers a better understanding of themselves
and their children, as well as help them to change certain negative behavior patterns.

In order to accomplish the research, I need your assistance.  Please answer the
following questions.  Your anonymous responses are greatly appreciated.  Thank
you for your time.

Pat Holt

______________________________________________________

1.  The ages of my children are:

2.  Screaming at my children is a problem for me
_____ Almost Always          _____ Sometimes          _____ Occasionally          _____ Never

3.  I am most likely to scream when (please give an appropriate example):
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________

4.  I am least like to scream when:
_____________________________________________________
_____________________________________________________

5.  I scream at my children when (please number in order of relevance):
_____ I am pre-menstrual
_____ I am frustrated with them
_____ They just won't listen
_____ I am tired
_____ They are irresponsible
_____ I am under a lot of pressure
_____ They talk back
_____ I've told them 1000 time
_____ Too much is happening at once
_____ I'm angry

6.  How do you feel after you scream?  (Please give an example)
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________

7.  I scream at my children because (Please number in order of relevance):

_____ It's the only reaction I know
_____ I hope that volume will drive my message home
_____ It makes me feel better
_____ Maybe they will understand how much their behavior effects me
_____ It's better than hitting them
_____ Nobody ever taught me how to deal with misbehavior
_____ It gets results
_____ It gets their attention

8.  How do your children react to your screaming? (Please give an example)
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________

9 . What do you think is an alternative to screaming?  (Please explain your answer)
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________

Optional information

10.  Age group
_____ Under 30          _____ 30 to 30          _____ Over 39

11.  Highest grade level completed:
_____ High school        ______ College Credit        _____ College Degree        _____ Graduate Credit        ____ Graduate Degree

12.  Currently employeed?
_____  No          _____ Yes (# of hours per week: _____)

13.  Average yearly combined family income:
_____ Under $35,000          _____ $35,000 to $75,000          _____ Over $75,000