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Norfolk Fatherhood Development Data Enquiry

  1. Are you Employed

  2. Type of Employment

  3. Barriers to having an effective relationship with your child: (Check all that apply)

  4. How much contact do you have with your child(ren) - Use Additional rows if children are out of locality:





  9. Please rate the following:

  10. Involvement in child's life

  11. Communication with child

  12. Relationship with child

  13. Knowledge of child development

  14. Understanding my child's needs

  15. Coping with parenting issues

  16. Involvement in child's education

  17. Peer Support

  18. Financial support to child

  19. Ability to re-connect with child

  20. Satisfaction with Fatherhood Group

  21. Leave This Blank:

  22. This field is not part of the form submission.