3. I always do and say whatever I want even 4 3 2 1
without consulting my parents
4. I actively participate in school activities. 4 3 2 1
5. I am not shy to interact with others. 4 3 2 1
6. My parents attentively listen whenever 4 3 2 1
I tell stories.
7. I often talk back to my parents. 4 3 2 1
8. My parents always allow me to play freely. 4 3 2 1
9. I always get punished physically or verbally. 4 3 2 1
10. I am afraid of my parents. 4 3 2 1
II. Encircle the letter that corresponds to your answer.
1. Did your parents scold/punished you?
a. Yes b. No 2. What do you feel whenever your parents punished you? a. Guilty b. Scared c. Afraid d. Angry e. Others, please specify ________________ 3. Do you think it is okay when your parents punished you whenever you did wrong? a. Yes b. No 4. What do you do after you’ve been punished? a. Cries b. Apologies c. Ignores d. Others, please specify________________ 5. Do you like playing and sharing stories with your parents? a. Yes b. No 6. Do you ask advices from your parents? a. Yes b. No 7. Are you comfortable when your parents interfere? a. Yes b. No
8. Do you feel that you have control over your parents?
a. Yes b. No
9. What do you feel when your parents ignore you?
a. Happy b. Sad c. Angry d. Ignore e. Others, please specify________________
10. Which of the following best describes your parents
a. They expect me to obey rules without explanation.
b. They explain their rules to me. c. They do not expect me to follow their rules consistently. d. None of the above