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Parental Substance Misuse Survey

We are asking people who may use drugs and/or alcohol and have children, what might be helpful to support you with parenting and family activities.  What would you find useful and what would put you off getting help?

The responses you give will remain anonymous and will be used by Coventry City Council.

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2.  

What ages are your children (please tick all that apply)

3.  

Which best describes your immediate family make up?

4.  

Are you receiving support for your drug and/or alcohol use?

5.  

Do you think your drug and/or alcohol use impacts your children? 

6.  

Are you receiving support for your children from any of the following? Please tick all that apply

7.  

Do you know who made the referral to the above services?

8.  

Have you been offered any parenting support class/group/programme?

9.  

Have you attended any parenting support – class/group/programmes?