Search
Our Providers
Our Locations
Newsletter
Donate
Therapy & Psychiatry
Individual Therapy
Couples Therapy
Family Therapy
Sex Therapy
Psychiatry
Low Cost Therapy Services
Relationship Checkup
Therapy & Support Groups
Workshops
Our Programs
Child, Adolescent & Family Services
Community Partnerships Initiative
Community Trauma Response
Older Adults Program
Operation Home & Healing
Transcending Trauma Project
Women’s Psychological Health Services
Professional Education
CE Workshops
Clinical Internship Program
Clinical Supervision
Congregational and Family Systems Academy
Open Menu
Close Search
Search for a therapist, a psychiatrist or other content:
Search
Results for
{phrase}
(
{results_count}
of
{results_count_total}
)
Displaying
{results_count}
results of
{results_count_total}
Filter content:
Select all
Therapists
Psychiatrists
Blog
Pages
News
Offices
Leadership
Try these:
low fee therapy services
professional development
therapist directory
Close Menu
Therapy & Psychiatry
Individual Therapy
Couples Therapy
Family Therapy
Sex Therapy
Psychiatry
Low Cost Therapy Services
Relationship Checkup
Therapy & Support Groups
Workshops
Our Programs
Child, Adolescent & Family Services
Community Partnerships Initiative
Community Trauma Response
Older Adults Program
Operation Home & Healing
Transcending Trauma Project
Women’s Psychological Health Services
Professional Education
CE Workshops
Clinical Internship Program
Clinical Supervision
Congregational and Family Systems Academy
Our Providers
Our Locations
Newsletter
Donate
Request Information
Call 215-382-6680
Preworkshop Questionnaire – Becoming Parents
Preworkshop Questionnaire - Becoming Parents
Name
(Required)
First
Last
Partner(s) Name(s)
(Required)
How satisfied are you with your current relationship(s)?
(Required)
0 – Not at all satisfied
1 – Very dissatisfied
2 – Dissatisfied
3 – Neutral
4 – Somewhat satisfied
5 – Satisfied
6 – Completely satisfied
Rate your overall relationship satisfaction on a scale from 0 to 6.
What motivates you to attend this workshop?
(Required)
Strengthen our communication before becoming parents
Prepare for and protect changes to intimacy
Learn skills to plan and divide household and parenting responsibilities
Learn tools for handling conflict or stress
Learn signs and reduce risks of postpartum mood and anxiety disorders (PMADs)
Prepare for the emotional and logistical changes a baby will bring
Address previous relationship challenges or concerns
First-time parenthood feels overwhelming
We’ve had difficult experiences in past life transitions
Recommended by a therapist, doula, or provider
Other
Select all that apply
If you selected "Other" in the above question, please explain.
(Required)
Do you have any concerns about violence, abuse, or controlling behaviors in your relationship?
(Required)
Yes
No
What strengths do you see in your relationship(s)?
(Required)
Strong communication
Emotional closeness
Strong Friendship
Operate as a team
Strong intimacy
Strong commitment our relationship(s)
Shared values or goals
Humor/playfulness
Resilience through stress
Strong support system
Shared parenting philosophy
Flexibility and adaptability
Other
Select all that apply.
If you selected "Other" to the above question, please explain.
(Required)
When are you planning to become a parent (or expand your family)?
(Required)
Currently expecting
Within the next 6 months
Within the next year
1–2 years from now
Still exploring the timeline
Not sure
By what means are you planning to become a parent?
(Required)
Pregnancy
Fertility Treatment
Surrogacy
Adoption
Foster care
Kinship care
Co-parenting with a friend or partner
Exploring options
Already parents
Other
Select all that apply.
If you selected "Other" to the previous question, please explain.
(Required)
