A Study on the Profile of Single Mothers at The Beatitudes, Vyasarpadi, Chennai

Respondent No.
I Demographic Details
1. Age

: 18- 30/ 30-40 / 40- 50/ 50 and Above

2. Educational Qualification

: Illiterate/ Primary/ Hig.Secondary/ Graduate/ Any

Other_____
3. Religion

: Hindu/ Muslim/ Christian

4. Type of Family

: Joint Family / Nuclear Family

5. Number of Children

6. Area of Residence

7. Cause for Single Parenthood

: Widow/ Divorced/ Deserted/ Separated

8. Cause for becoming Widow/

Divorced/ Deserted/ Separated

II Economical Conditions:
1. Occupation

2. Monthly Income

: Rs.0-Rs.2000/Rs.2000-Rs.4000/
Rs.4000-Rs.8000/ Rs.8000 and

above
3. How much do you spend for household expenses per month? :
4. How much do you spend for medical expenses per month?

5. How much do you spend for childrens education per year?

6. Do you have debts?

: Yes

a. If yes, from whom do you take loans?

No

: Bank/ Money Lenders/

Jewellery Loans/Others______

8. Are you able to repay the loan?

: Always/Sometimes/Never

9. Tick the option that describes your saving

: Bank Savings/ SHGs/ Chit Fund/

Post Office/ Any Other__________

10. Tick the properties that you posses from the given list

: House/Land/ Cycle/ Bike/Car/

Nothing Any Other_____________

11. What is your current living accommodation?

: Own Home/ Rented/ Any Other

12. Type of House

: Thatched House/ Tiled house/

Concrete

House/Others ___________
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III Health Status:

1. How would you rate the cleanliness of your environment?

Very clean

Clean

Not clean

2. Do you get clean water for drinking purpose?

Always

Sometimes

Never

3. Tick the items which you include in your food from the list given below:(Multiple choices can be
made)
Pulses

Cereals

Fruits

Non-Veg

Veg

Milk

4. Tick the Chronic Illnesses you have from the list given below: (Multiple choices can be made)
Blood Pressure

Diabetes

Cancer

Any Other

5. Do you have any problems related to Reproductive Health?

Yes

No

6. To which hospital you go for treatment? (Multiple choices can be made)

Government

Private

Any other _______________

7. Do you go for regular medical checkup?

Always

Rarely

Never

8. Do you take your medicines regularly?

Always

Sometimes

Never

9. Do you have time to pay attention to your health?

Always

Sometimes

Never

10. How would you rate your General Health?

Poor

Healthy

Unhealthy

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I do not suffer

IV Give your opinion pertaining to the statements given below relating to the factors causing
Stress:
There is no right and wrong answer.
Options: 1-Strongly Disagree, 2-Disagree, 3-Neutral, 4-Agree, 5Strongly Agree
Q.No
STATEMENTS
1 2 3 4 5
1
Being a single parent is very tough.
1
2
Single mothers experience workload leading to stress.
3
4
5
6
7
8
9
10

Economical strain is one of the main causes for stress.

Single Mothers face difficulties in playing the role of both the parents.
Over load in rearing children causes stress to single Mothers.
Changes in living arrangements and adjustments lead to stress.
Working to meet the entire needs of the family results in stress.
Social stigma leads to stress.
Stress in single mothers leads to physical ill health.
Single Parent families are considered as broken families.

V Give your opinion pertaining to the statements given below relating to the Difficulties Faced
as Single Parent:
Options: 1-Strongly Disagree, 2-Disagree, 3-Neutral, 4-Agree, 5Strongly Agree
Q.No
STATEMENTS
1 2 3 4 5
1
My children face more stressful events than children in dual parent family.
1
2
My children are poor in academic performance.
3
4
5
6

Social relationship of my children is very good.

My children exhibit behavioral problem.
My children do not show interest in eating.
I feel ineffective as a single parent.

7
8
9
10

I share affection and warmth relationship with my children.

My children value my relationship.
My children spontaneously share with me.
I am satisfied with my childrens growth.

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VI Support System of Single Mothers:
1. Your social network consists of:
Parents

Friends

Neighbours

Co-workers

Others____

Relatives

Institution____

Others

2. Major Source of Support is:

Parents

Friends

3. What is your protecting factor?

Employment

Social assistance

Parents

Community

Any other

4. Type of social assistance you receive:

Finance

Education

Training

Any other

Opinion pertaining to Support System of Single Mothers:

Options: 1-Strongly Disagree, 2-Disagree, 3-Neutral, 4-Agree, 5-Strongly
Agree
Q.No
STATEMENTS
1 2 3 4 5
5. I have good relationship with my Parents.
6.

I feel excluded in social gatherings.

7.

I get along well with my In-Laws.

8.

I am not accepted by others.

9.

I am happy about my relationship with all my relatives.

10.

I am left alone in times of trouble.

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