Panevezys, Lithuania, November 2012
This questionnaire is anonymous. It helps us to indicate the level of student’s autonomy, to set the aims for further education and to monitor and improve the quality of service at JDC.
As you answer the questions, please try to keep the following in mind:
• Please try your best to answer all the questions you can.
• Don’t be hesitant to ask for help if you need it.
• There is no right or wrong answers; it is your honest opinion that matters.
• Try not to be influenced by the way you think people want you to answer!
• Don’t take too long over the questions – initial responses are often the best.
• Please feel free to submit any general comments on an extra sheet.
1. Do you giving pocket money to your daughter/son?
a) Yes, because ________________________________________________________________ _____________________________________________________________________________
b) No, because ________________________________________________________________ _____________________________________________________________________________
2. Does your daughter/son deciding what to wear without your help or influence?
a) Yes, because ________________________________________________________________ _____________________________________________________________________________
b) No, because ________________________________________________________________
_____________________________________________________________________________
3. Does your daughter/son deciding when to change her/ his wear and underwear without your help or influence?
a) Yes, because _________________________________________________________________ _____________________________________________________________________________
b) No, because _________________________________________________________________ _____________________________________________________________________________
4. Will you agree if your daughter/son have a boyfriend/girlfriend?
a) Yes, because _________________________________________________________________ _____________________________________________________________________________
b) No, because _________________________________________________________________ _____________________________________________________________________________
5. Did you ever talk with your daughter/son about sex and protection?
a) Yes, because _________________________________________________________________ _____________________________________________________________________________
b) No, because _________________________________________________________________ _____________________________________________________________________________
6. Would you wish that staff at JDC talk with your daughter/son about sex and protection?
a) Yes, because _________________________________________________________________ _____________________________________________________________________________
b) No, because _________________________________________________________________ _____________________________________________________________________________
7. Does your daughter/son stay at home alone?
a) Yes, because _________________________________________________________________ _____________________________________________________________________________
b) No, because _________________________________________________________________ _____________________________________________________________________________
8. Does your daughter/son shopping alone without your help or influence?
a) Yes, because _________________________________________________________________ _____________________________________________________________________________
b) No, because _________________________________________________________________ _____________________________________________________________________________
9. Does your daughter/son meet her/his friends out without your help or influence?
a) Yes, because _________________________________________________________________ _____________________________________________________________________________
b) No, because _________________________________________________________________ _____________________________________________________________________________
10. Does your daughter/son go out with her/ his friends to teeter, cinema, concert?
a) Yes, because _________________________________________________________________ _____________________________________________________________________________
b) No, because _________________________________________________________________ _____________________________________________________________________________
11. Will you agree if your daughter/son taste some alcohol?
a) Yes, because ___________________________________________________________ _____________________________________________________________________________
b) No, because __________________________________________________________ _____________________________________________________________________________
12. Can your daughter/son plan her/his free time without your influence?
a) Yes, because _________________________________________________________________ _____________________________________________________________________________
b) No, because _________________________________________________________________ _____________________________________________________________________________
Thank You Very Much!!!