The Backlash! - January 1996

Organization News - Fathers' Rights & Equality Exchange (415) 853-6877 -- 701 Welch Rd. #323 Palo Alto, CA 94304

Membership Survey

by Anne P. Mitchell, Esq.
Copyright 1996 by Anne P. Mitchell


Because the Foundation is non-profit, we can now apply for grants to provide services to both our members, and the public at large. However, many granting institutions require information about the demographics of our membership. Thus, we need to ask you to respond to the following poll.

It is very important that we obtain as many responses as possible!

All responses will be kept confidential and information shared with anyone will be annonymous, and in the form of statistial analysis

All questions are optional, you do not need to anyswer any given question, but please let us know fi you left it blank intenionally (so we know you did not just miss the question).

Thank you very much in advance.

PLEASE PLACE AN "X" beside the response which most accurately applies to you, or fill in blank if appropriate:

  1. Your age:

  2. Your sex:

  3. You are:

  4. Your current marital status:

  5. I have this many natural children from previous relationships who I do not have custody of:

  6. I have this many natural children from previous relationships who I do have custody of:

  7. I have this many step-children who do not live with me:

  8. I have this many step-children who do live with me:

  9. Of natural children who I do not have custody of, these children live:

  10. Of the natural children I do not have custody of, there are orders or written agreements in place that I am to spend time with them, on average, of:

  11. Of the natural children I do not have custody of, I actually get to spend time with them, on average, of:

  12. If you do not see your natural children who you do not have custody of for the full amount of time ordered or agreed to, is it primarily because:

  13. Check which applies to you and any natural children you do not have custody of:

  14. If there is an order or agreement for child support for natural children which do not live with you:

  15. If your natural children who you do not have custody of live in a different state than you:

  16. You (check all which apply):

  17. You have dealt with a false allegation of non-sexual abuse in your divorce/custody case:

  18. You have dealt with a false allegation of sexual abuse in your divorce/custody case:

  19. If you have dealt with a false allegtaion of abuse (sexual or non-sexual) in your divorce/custody case:

  20. If you are a male, and have been the victim of domestic violence:

  21. My income level is:

  22. My ethnic background is:

  23. I live in (please provide city, state, and country):

  24. The area I live in is:

  25. If you are employed, please tell us what sort of job you have or industry you work in:
Thank you very much for participating in this poll.
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