Family Achievement Survey
Please complete this survey to help us understand your family's achievements, strengths, and areas for growth.
Family Name
*
Number of Family Members
*
Please list the first names and ages of all family members.
*
Rate your family's achievements in the following areas.
*
Rows
Excellent
Good
Average
Needs Improvement
Education
1
2
3
4
Career/Work
5
6
7
8
Community Involvement
9
10
11
12
Personal Development
13
14
15
16
Health & Wellness
17
18
19
20
How would you rate your family's communication skills?
*
1
2
3
4
5
Which of the following best describes your family's approach to solving problems?
*
We collaborate and discuss as a team.
One or two members usually decide.
We struggle to find solutions together.
Other
What are your family's top three strengths? (Select up to 3)
*
Support for each other
Open communication
Shared values
Adaptability
Strong work ethic
Sense of humor
Other
What are the biggest challenges your family faces? (Select all that apply)
*
Time management
Financial pressures
Work-life balance
Communication difficulties
Health issues
Other
Please share an example of a recent family achievement you are proud of.
*
What family goals would you like to achieve in the next year?
Any additional comments or suggestions?
Submit Survey
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