5. If you have siblings where do you fall in the birth order? 2nd oldest
6. While you were growing up what was your economic social status (upper class, middle class, etc)? lower middle class
7. Do you still consider yourself to be in that status, if not what is your economic social status now? middle class
8. Your Major:Nursing
9. On a scale from 1-5 (5 being very likely and 1 being not at all likely) how likely do you think you will follow through with your major and not change it? 5
10. When you get your degree, what specific occupation do you feel you will want the most? RN
Reflection upon You and Your Childhood
Directions: Please read each statement carefully. Type the option that best answers the question for you. SA=Strongly Agree A=Agree N=Neither Agree or Disagree D=Disagree SD=Strongly Disagree
1. My parent’s parenting style was consistent and not too overbearing. D
2. My parent’s parenting style was inconsistent and bordered on neglectful/abusive. N
3. I was given too much responsibility as a child. A
4. I was given too little responsibility as a child. SD
5. One or both of my parents abused drugs and/or alcohol.SD
6. I had no traumatic events (physical/ verbal/sexual abuse, separation of family, accidents, etc) in my childhood. SA
7. Somebody or something I looked to for inspiration passed or went away when I was a child. SA
8. When I had stress as a child my parents taught me to relieve it through healthy techniques and I used these techniques. A
9. I feel my parents had a negative impact upon my life. A
10. I feel everything happens for a reason and I am the only one responsible for my decisions and actions in life. A
1. Sex:Female
2. Age:23
3. Marital Status:Single
4. Your Parent’s Marital Status:Re-married
5. If you have siblings where do you fall in the birth order? 2nd oldest
6. While you were growing up what was your economic social status (upper class, middle class, etc)? lower middle class
7. Do you still consider yourself to be in that status, if not what is your economic social status now? middle class
8. Your Major:Nursing
9. On a scale from 1-5 (5 being very likely and 1 being not at all likely) how likely do you think you will follow through with your major and not change it? 5
10. When you get your degree, what specific occupation do you feel you will want the most? RN
Reflection upon You and Your Childhood
Directions:
Please read each statement carefully. Type the option that best answers the question for you.
SA=Strongly Agree A=Agree N=Neither Agree or Disagree D=Disagree SD=Strongly Disagree
1. My parent’s parenting style was consistent and not too overbearing. D
2. My parent’s parenting style was inconsistent and bordered on neglectful/abusive. N
3. I was given too much responsibility as a child. A
4. I was given too little responsibility as a child. SD
5. One or both of my parents abused drugs and/or alcohol.SD
6. I had no traumatic events (physical/ verbal/sexual abuse, separation of family, accidents, etc) in my childhood. SA
7. Somebody or something I looked to for inspiration passed or went away when I was a child. SA
8. When I had stress as a child my parents taught me to relieve it through healthy techniques and I used these techniques. A
9. I feel my parents had a negative impact upon my life. A
10. I feel everything happens for a reason and I am the only one responsible for my decisions and actions in life. A
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