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Survey for Parents
Introduction
This survey asks about sensitive/personal information, perspectives, and experiences pertaining to you and your teenage children (aged 13 to 19). These questions are voluntary, and all your responses will be collected anonymously. The survey is intended to help us understand the current and relevant concerns of teenagers living in Ontario. Your input as a parent or caregiver is very valuable. If you have more than one teen, you can complete this form separately for each teenager.
Demographic information:
A. Are you currently living in Ontario?
Clear choice
Yes
No
Prefer not to say
B. Are you a parent/caregiver of at least one teenager?
Clear choice
Yes
No
Prefer not to say
C. How many teenage children do you have?
Clear choice
1
2
3
4 or more
Prefer not to say
D. What is the gender of your teenager?
Clear choice
Female
Male
Non-Binary
Prefer not to say
E. What age group are you in?
Clear choice
21-30
31-40
41-50
51 and above
Prefer not to say
F. What’s the age group of your teenager?
Clear choice
13 to 15
16 to 17
18 to 19
Prefer not to say
G. What is your gender
Clear choice
Female
Male
Non-binary
Prefer not to say
Other; please specify
H. What is your level of education?
Clear choice
Elementary
Secondary
Post-Secondary
Bachelor's
Master
PhD or higher
Prefer not to say
Other; please specify
I. What is your current employment status?
Clear choice
Full-time employee
Part-time Employee
Unemployed
Retired
Prefer not to say
Other; please specify
J. How long have you been living in Canada?
Clear choice
Less than 1 year
1-3 years
3-5 years
5-7 years
7-9 years
10 years and above
Born in Canada
Prefer not to say
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Survey Questions
1. How would you rate your awareness of your teen’s whereabouts and the people they spend time with?
Clear choice
1. Not at all aware
2. Slightly aware
3. Moderately aware
4. Very aware
5. Extremely aware
Prefer not to say
Other; please explain:
2. How concerned are you about your teen’s academic performance in their school?
Clear choice
1. Extremely concerned
2. Very concerned
3. Moderately concerned
4. Slightly concerned
5. Not concerned at all
Prefer not to say
Other; please specify
3. How often do you help your teen with homework and school assignments?
Clear choice
1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
Prefer not to say
Other; please specify
4. Do you feel you have enough information to understand your teen's academic progress?
Clear choice
1. No, not at all
2. No, not really
3. Neutral
4. Yes, somewhat
5. Yes, completely
Prefer not to say
Other; please specify
5. In your opinion, how easily can your teen make friends in their school?
Clear choice
1. Very difficult
2. Difficult
3. Neither easy nor difficult
4. Easy
5. Very easy
Prefer not to say
Other; please specify
6. How often does your teen participate in social or extracurricular activities?
Clear choice
1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
Prefer not to say
Uncertain/ I don’t know
Other; please specify
7. How often has your teen experienced any form of bullying in Canada including in-person or online?
Clear choice
1. Always
2. Often
3. Sometimes
4. Rarely
5. Never
Uncertain/ I don’t know
Prefer not to say
Other; please specify
8. Where has your teen experienced bullying?
Clear choice
At school
At work if applicable
Online/ social media
In their community outside of school or work
Uncertain/ I don’t know
Prefer not to say
Other; please specify
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Survey Questions
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9. How often do you believe your teen uses substances such as alcohol, tobacco, cannabis etc.?
Clear choice
1. Always
2. Often
3. Sometimes
4. Rarely
5. Never
Uncertain/ I don’t know
Prefer not to say
Other; please specify
10. How concerned are you about your teen(s) being exposed to alcohol, tobacco, cannabis, or other substances?
Clear choice
1. Extremely concerned
2. Very concerned
3. Moderately concerned
4. Slightly concerned
5. Not concerned at all
Prefer not to say
Other; please specify
11. How much time does your teen spend daily on the internet for academic purposes?
Clear choice
Less than 1 hour
1-2 hours
3-4 hours
5-6 hours
More than 6 hours
Uncertain/ I don’t know
Prefer not to say
Other; please specify
12. How much time does your teen spend daily on the internet for non-academic purposes?
Clear choice
Less than 1 hour
1-2 hours
3-4 hours
5-6 hours
More than 6 hours
Uncertain/ I don’t know
Prefer not to say
Other; please specify
13. Are you concerned about your teen’s internet usage (e.g., social media, gaming, gambling, inappropriate use of the internet, etc.)?
Clear choice
1. Extremely concerned
2. Very concerned
3. Moderately concerned
4. Slightly concerned
5. Not concerned at all
Prefer not to say
Other; please specify
14. Which of the following options are you most concerned about?
Click all that apply.
Excessive use of social media and friendship apps (Instagram, TikTok, Snapchat, etc.)
Gaming
Gambling
Posting inappropriate content on the internet
Prefer not to say
Other; please explain
15. How safe do you feel your teen is at school or in their community?
Clear choice
1. Very unsafe
2. Unsafe
3. Somewhat safe
4. Safe
5. Very safe
Uncertain/ I don’t know
Prefer not to say
Other; please specify
16. Please elaborate on your response about your feelings of being safe or unsafe for your teen at school or in the community.
17. Has your teen ever engaged in any of the following behaviors?
Click as many options as applicable.
Skipping school/ Truancy
Physical fights
Bullying others
Substance use
Substance dealing
Theft
Vandalism
Viewing pornography/ sexual content
Gambling
Involvement with gangs
Engaging in unsafe sexual practices e.g. unprotected sex
Not applicable
Prefer not to say
Other; please specify
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18. In your opinion, how frequently does your teen show signs of stress, anxiety, or depression?
Clear choice
1. Always
2. Often
3. Sometimes
4. Rarely
5. Never
Uncertain/ I don’t know
Prefer not to say
Other; please specify
19. Does your teen have access to mental health resources (e.g., counseling, therapy)?
Clear choice
No, and they don’t need them
No, but they need them
Yes, through school, but they don’t use them
Yes, through school, and they sometimes use them
Yes, through school, and they regularly use them
Yes, through other sources; please specify below
Uncertain/ I don’t know
Prefer not to say
Other; please specify
Other sources:
20. How often do you discuss your teen(s)' school life and challenges with them?
Clear choice
1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
Prefer not to say
Other; please specify
21. In your experience, what are the positive impacts of using social media/internet on your teen?
Click as many options as applicable.
Enhanced Mental health
Improved Physical Health
Increased Resilience
Enhanced Productivity
Improved Attention
Improved Sleep
Increased Motivation
Enhanced Self-confidence
Inspired by public figures/influencers/ animation figures
Satisfied with their body image
Increased frustration tolerance
Decreased irritability
Receive identity-specific support (such as LGBTQ+, racial/ ethnic groups, religious groups, people with disabilities)
Get general support online
Prefer not to say
Other positive impacts; please specify
22. In your experience, what are the negative impacts of using social media/internet on your teen?
Click as many options as applicable.
Mental health issues
Physical Health issues
Decreased Resilience
Procrastination
Issues with Attention
Sleep issues
Lack of Motivation
Low Self-confidence
Comparison with influencers/public figures/animation figures
Unrealistic body image expectations
Decreased frustration tolerance
Affected by influencers
Increased irritability
Reduced conflict resolution skills and social engagement
Prefer not to say
Any other comments: please explain
23. How knowledgeable are you as a parent/ caregiver about cybersecurity options for tracking your teen's Internet usage/browsing?
Clear choice
1. Not knowledgeable at all
2. Slightly knowledgeable
3. Moderately knowledgeable
4. Very knowledgeable
5. Extremely knowledgeable
Uncertain/ I don’t know
Prefer not to say
Other; please specify
24. How aware are you of the consequences of your teen posting content online?
Clear choice
1. Not aware at all
2. Slightly aware
3. Moderately aware
4. Very aware
5. Extremely aware
Uncertain/ I don’t know
Prefer not to say
Other; please specify
25. Would you like to receive more information and gain skills to deal with teen’s current challenges?
Click as many options as applicable.
Parenting workshop
Communication skills workshop
Cybersecurity information session to keep internet usage safe for your teen
Community support services
Other; please specify
26. Is there anything else you would like to share that was not addressed in this survey?
Submit
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