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[null,null,null,null,null,null,null,null,null,null,"v5"]
[]
[null,"Reducing Parental Conflict Programme"]
[null,"Referral Stage Questionnaire "]
[null,"For parents expecting their first child who are  currently in a relationship"]
[null,"together"]
[]
[null,"Please read the following instructions."]
[]
[null,"Please could you answer all questions in Part 1 asking for information relating to you ",null,null,null,null,null,null,null,null,null,"Values"]
[null,"and your family."]
[]
[null,"Once you have provided your information please move on to Part 2. Please answer "]
[null,"all questions in this section."]
[]
[null,"Once completed please return the questionnaire to the person who gave it to "]
[null,"you"]
[]
[null,"Additional Needs (including any needs for interpreters etc.)"]
[]
[null,"I have no additional needs that might make it difficult for me to take part"]
[]
[null,"I have additional needs that might make it difficult for me to take part. "]
[null,"I have given details of these below:"]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L25=1, \"No Additional Needs Identified\", IF(L25=2, \"Additional Needs Identified\", \"Must Complete\"))","v":"Must Complete"}]
[null,"Please give details"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(B27>0, B27, \"Additional Needs not entered\")","v":"Additional Needs not entered"},{"$f":"IF(B27>0, \"Additional Needs Identified\", \"Additional Needs not entered\")","v":"Additional Needs not entered"}]
[]
[]
[null,"I have completed a separate Participation Agreement Statement with the person who "]
[null,"gave me the questionnaire",null,null,null,null,null,null,null,null,null,false,{"$f":"IF(L31=TRUE, \"Participation Agreement Completed\", \"Must Complete\")","v":"Must Complete"}]
[]
[null,"If you are completing a paper copy of this questionnaire, please select just one answer "]
[null,"for multiple choice questions."]
[]
[null,"Is anyone within your household currently in work?"]
[null,"Yes"]
[null,"No",null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L38=1, \"Yes\", IF(L38=2, \"No\", \"Must Complete\"))","v":"Must Complete"}]
[]
[]
[]
[null,"PART 1"]
[]
[null,"Parent information"]
[]
[null,"This section collects important information about you and your family."]
[null,"Please complete all questions in this section."]
[]
[null,"About You"]
[]
[null,null,null,"Please complete below"]
[null,"Title",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D52>0, D52,\"Must Complete\")","v":"Must Complete"}]
[null,"Forenames",null,null,null,null,null,null,null,null,null,null,"Must Complete"]
[null,"Surname",null,null,null,null,null,null,null,null,null,null,"Must Complete"]
[null,"Date of birth\n(dd/mm/yyyy)",null,null,null,null,null,null,null,null,null,null,"Must Complete"]
[null,"Telephone\nnumber (mobile)",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D56>0,\"+44 \"& D56,\"Must Complete\")","v":"Must Complete"}]
[null,"Alternative\ntelephone \nnumber (e.g. landline)",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D57>0,  \"+44 \"&D57,\"No alternative number supplied\")","v":"No alternative number supplied"}]
[null,"Address",null,null,null,null,null,null,null,null,null,null,"Must Complete"]
[null,"Post code",null,null,null,null,null,null,null,null,null,null,"Must Complete"]
[null,"Email",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D60>0, D60,\"No email address supplied\")","v":"No email address supplied"}]
[]
[null,"What is your gender identity? Please select below."]
[]
[]
[null,"Male"]
[null,"Female"]
[null,"Other"]
[null,"Prefer not to say",null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L68=0,\"Must Complete\",IF(L68=1,\"Prefer not to say\",IF(L68=2,\"Other\",IF(L68=3,\"Female\",IF(L68=4,\"Male\",\"INCORRECT\")))))","v":"Must Complete"}]
[]
[null,"Disability:"]
[null,"Do you have a long-standing physical or mental impairment, illness or disability? By "]
[null,"long-standing' we mean anything that has troubled you over a period of at least 12 "]
[null,"months or that is likely to trouble you over a period of at least 12 months."]
[]
[]
[null,"Yes",null,"No ",null,"Prefer not to say",null,null,null,null,null,0,{"$f":"IF(L76=0, \"Must Complete\", IF(L76=1, \"Prefer not to say\", IF(L76=2, \"No\", IF(L76=3, \"Yes\",\"Incorrect\"))))","v":"Must Complete"}]
[]
[]
[]
[null,"What is your ethnic group? Tick one option that best describes your ethnic group "]
[null,"or background."]
[]
[null,"White"]
[null,"    1.  English/Welsh/Scottish/Northern Irish/British"]
[null,"    2.  Irish"]
[null,"    3.  Gypsy or Irish Traveller"]
[null,"    4.  Any other white background. Please describe below:"]
[]
[null,"Mixed/ Multiple Ethnic Groups"]
[null,"    5.  White and Black Caribbean"]
[null,"    6.  White and Black African"]
[null,"    7.  White and Asian"]
[null,"    8.  Any other Mixed/Multiple ethnic background. Please \n         describe below:"]
[]
[null,"Asian/Asian British"]
[null,"    9.  Indian"]
[null,"    10. Pakistani"]
[null,"    11. Bangladeshi"]
[null,"    12. Chinese"]
[null,"    13. Any other Asian background. Please describe below:"]
[]
[null,"Black/African/Caribbean/Black British "]
[null,"    14. African"]
[null,"    15.  Caribbean"]
[null,"    16. Any other Black/African/Caribbean background. Please\n          describe below:"]
[]
[null,"Other ethnic group "]
[null,"    17. Arab"]
[null,"    18. Any other ethnic group. Please describe below:"]
[null,null,null,null,null,null,null,null,null,null,null,0]
[null,"    19. Prefer not to say",null,null,null,null,null,null,null,null,null,{"$f":"IF(L110=4, B88, IF(L110=8, B94, IF(L110=13,B101,  IF(L110=16, B106, IF(L110=18, B110, \"None Selected\")))))","v":"None Selected"},{"$f":"IF(L110>0,L110,\"Must Complete\")","v":"Must Complete"},{"$f":"IF(L110=0, \"None Selected\", IF(L111=\"None Selected\", \"Standard Ethnicity Type\",  IF(L111=0, \"Please Select/Enter Type\", L111)))","v":"None Selected"}]
[]
[]
[]
[null,"Please answer the following questions by selecting your answer."]
[]
[null,"What is your current marital status?"]
[]
[null,"Single (never married or been in a civil partnership)"]
[null,"Married or in a Civil Partnership and living with husband/wife"]
[null,"Living together"]
[null,"Steady relationship without living together "]
[null,"Separated"]
[null,"Divorced"]
[null,"Widowed"]
[null,"Prefer not to say"]
[null,"Other",null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L127=1,\"Single\",IF(L127=2,\"Married or Civil Partnership\",IF(L127=3,\"Living Together\",IF(L127=4,\"Steady Relationship\",IF(L127=5,\"Separated\",IF(L127=6,\"Divorced\",IF(L127=7,\"Widowed\", IF(L127=8, \"Prefer not to say\", IF(L127=9, \"Other\", \"Must Complete\")))))))))","v":"Must Complete"}]
[]
[null,"How many children do you currently have primary or shared care"]
[null," responsibility for?"]
[]
[null,"Expecting first child"]
[null,1]
[null,2]
[null,3]
[null,"4 or more"]
[null,"None",null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L137=1,\"Expecting first child\",IF(L137=2,1,IF(L137=3,2,IF(L137=4,3,IF(L137=5,\"4 or more\",IF(L137=6,\"None\",\"Must Complete\"))))))","v":"Must Complete"}]
[]
[]
[null,"Which of these best describes your current employment status?"]
[]
[null,"Please note: if you are on parental leave, you should tick the box of the category you"]
[null,"were in prior to this leave."]
[]
[null,"Self employed"]
[null,"In full time paid employment"]
[null,"In part time paid employment (less than 30 hours/week)"]
[null,"Unemployed"]
[null,"Retired"]
[null,"Looking after family or home (unpaid)"]
[null,"Full-time student"]
[null,"Long-term sick or disabled"]
[null,"On a government training scheme"]
[null,"Doing something else"]
[null,"Prefer not to say",null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L155=1,\"Self employed\",IF(L155=2,\"Full time employment\",IF(L155=3,\"Part time employment\",IF(L155=4,\"Unemployed\",IF(L155=5,\"Retired\",IF(L155=6,\"Looking after family or home\",IF(L155=7,\"Full time student\",IF(L155=8,\"Long term sick/disabled\",(IF(L155=9,\"On a government training scheme\",IF(L155=10,\"Doing something else\",IF(L155=11,\"Prefer not to say\",\"Must Complete\"))))))))))))","v":"Must Complete"}]
[]
[]
[null,"Are you presently or have you ever experienced mental health problems? "]
[]
[null,"No, and I have no mental health diagnosis"]
[null,"No, but I do have a mental health diagnosis"]
[null,"Yes, but I do not have a mental health diagnosis"]
[null,"Yes, and I have a mental health diagnosis"]
[null,"Don't know"]
[null,"Prefer not to say",null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L165=1, \"No, No diagnosis\", IF(L165=2, \"No, Have diagnosis\", IF(L165=3, \"Yes, No diagnosis\", IF(L165=4, \"Yes, Have diagnosis\", IF(L165=5, \"Don't know\", IF(L165=6, \"Prefer not to say\", \"Must Complete\"))))))","v":"Must Complete"}]
[]
[]
[null,"What is your relationship with the person you are currently experiencing"]
[null,"conflict with? "]
[]
[null,"Married or in a Civil Partnership"]
[null,"Living together (but not married or in a civil partnership)"]
[null,"Steady relationship without living together"]
[null,"Separated"]
[null,"Divorced"]
[null,"Other"]
[null,"Prefer not to say",null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L177=1, \"Married or Civil Partnership\", IF(L177=2, \"Living Together\", IF(L177=3, \"Steady Relationship\", IF(L177=4, \"Separated\", IF(L177=5, \"Divorced\", IF(L177=6, \"Other\", IF(L177=7, \"Prefer not to say\", \"Must Complete\")))))))","v":"Must Complete"}]
[]
[null,"I understand that the provision is most effective when both parents attend together.  I am "]
[null,"supplying the other parent’s details below so that we can be referred to provision together. I "]
[null,"understand that if both parents are unable to attend this provision, then I may not be able to"]
[null,"receive this support as some types are only able to proceed with both parents."]
[]
[null,"Their name",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D184>0, D184, \"Co-Parent details not supplied\")","v":"Co-Parent details not supplied"}]
[]
[null,"Their date of birth",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D186>0, D186, \"Co-Parent details not supplied\")","v":"Co-Parent details not supplied"}]
[null,"(dd/mm/yyyy)"]
[]
[null,"PART 2 - About Your Circumstances"]
[]
[null,"There are two sections of questions in this part of the questionnaire. Please answer "]
[null,"all questions to the best of your ability, even if they do not seem entirely relevant to "]
[null,"you. "]
[]
[null,"Once you have finished these questions, please return the questionnaire to the "]
[null,"person who gave it to you. "]
[]
[]
[null,"Section 1:  You and your spouse/partner"]
[]
[null,"Please think about the times during the last 4 weeks when you and your spouse/partner"]
[null,"have spent time talking or doing things together."]
[]
[null,"With those times in mind, please indicate how often your spouse/partner acted in the "]
[null,"following ways towards you. During the past 4 weeks, how often did your "]
[null,"spouse/partner…"]
[]
[null,"1. Let you know they really care about you"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L212>0, L212, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"2. Was loving and / or affectionate towards you"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L218>0, L218, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"3. Let you know that they appreciate your ideas or the things you do"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L224>0, L224, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"4. Help you to do something that is important to you"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L230>0, L230, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"5. Be supportive and understanding towards you"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L236>0, L236, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"6. Criticise you"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L242>0, L242, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"7. Argue with you when you disagreed about something"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L248>0, L248, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"8. Get angry at you"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L254>0, L254, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"9. Shout at you because they were upset with you"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L260>0, L260, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[null,"Section 2:  Agreement in relationships"]
[]
[null,"Most people have disagreements in their relationships. Please select how often you"]
[null,"and your spouse / partner agree or disagree about the following:"]
[]
[null,"1. Philosophy of life (Your approach to life)"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L272>0, L272-1, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"2. Aims, goals, and things you believe are important"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L278>0, L278-1, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"3. Amount of time spent together"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L284>0, L284-1, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"Please circle how often you would say the following events occur between you and"]
[null,"your spouse / partner?"]
[]
[null,"4. Have a stimulating exchange of ideas (A meaningful discussion)"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L293>0, L293-1, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[]
[null,"5. Calmly discuss something together"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L301>0, L301-1, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[]
[null,"6. Plan something together"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L309>0, L309-1, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[]
[null,"7. The following represent different degrees of happiness in your relationship. "]
[null,"The middle point, “happy,” represents the degree of happiness of most relationships. "]
[null,"Please select the degree of happiness, all things considered, in your relationship."]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L318>0, L318-1, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[]
[null,"Please tick below the approximate extent of agreement or disagreement between you "]
[null,"and your spouse / partner for each item on the following list."]
[]
[null,"8. How often do you discuss or have you considered divorce, separation "]
[null,"or ending your relationship?"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L330=6,\"All the time\",IF(L330=5,\"Most of the time\",IF(L330=4,\"More often than not\",IF(L330=3,\"Occasionally\",IF(L330=2,\"Rarely\",IF(L330=1,\"Never\",\"Must Complete\"))))))","v":"Must Complete"}]
[]
[]
[null,"9. Do you ever regret that you married? (or lived together)"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L337=6,\"All the time\",IF(L337=5,\"Most of the time\",IF(L337=4,\"More often than not\",IF(L337=3,\"Occasionally\",IF(L337=2,\"Rarely\",IF(L337=1,\"Never\",\"Must Complete\"))))))","v":"Must Complete"}]
[]
[]
[null,"10. How often do you and your spouse / partner argue?"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L344=6,\"All the time\",IF(L344=5,\"Most of the time\",IF(L344=4,\"More often than not\",IF(L344=3,\"Occasionally\",IF(L344=2,\"Rarely\",IF(L344=1,\"Never\",\"Must Complete\"))))))","v":"Must Complete"}]
[]
[]
[null,"11. How often do you and your spouse / partner “get on each other’s nerves”?"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L351=6,\"All the time\",IF(L351=5,\"Most of the time\",IF(L351=4,\"More often than not\",IF(L351=3,\"Occasionally\",IF(L351=2,\"Rarely\",IF(L351=1,\"Never\",\"Must Complete\"))))))","v":"Must Complete"}]
[]
[]
[]
[]
[]
[]
[]
[null,null,{"$f":"IF(L359>0, \"You have not completed one or more questions, please complete them.\", \"\")","v":"You have not completed one or more questions, please complete them."},null,null,null,null,null,null,null,null,{"$f":"COUNTIF(M31:M364, \"Must Complete\")","v":37}]
[null,null,null,null,null,"END OF QUESTIONS"]
[]
[null,null,null,null,null,"Thank you for completing this questionnaire"]
[]
[]
[]
[]
[null,"For use by staff member"]
[]
[null,"Why is this data being collected?"]
[null,"This information will be really valuable for providers and RPC Local Authorities and "]
[null,"gateways to work effectively with you to support parents on the Programme, as well as for "]
[null,"internal learning within the CPAs on the referral process."]
[]
[null,"The information is also being collected to contribute to DWP’s evaluation of the RPCP. DWP "]
[null,"have contracted two independent research companies to support the evaluation: IFF, and "]
[null,"Tavistock Institute of Human Relations (TIHR) who may contact you to seek your views on "]
[null,"your experiences of the referral process and of identifying and supporting parents in conflict. "]
[null,"The results of the evaluation will be published, though all results will be anonymised, so you "]
[null,"will not be identifiable in any way"]
[]
[null,"What happens to information collected about me?"]
[null,"Your contact details will be shared with the Provider and Local Authority CPA gateway to "]
[null,"help them to work effectively with parents on the Programme, as well as for the CPA Local "]
[null,"Authorities to understand locally the how the RPC Programme is working. "]
[]
[null,"For DWP’s evaluation, your professional contact information will be transferred securely from "]
[null,"DWP to IFF and TIHR who may contact you to take part in further research for the "]
[null,"evaluation of the RPCP. If contacted, you may decline to participate. Although we would "]
[null,"value your feedback on the programme. "]
[]
[null,"You can request a copy of the information DWP holds about you on the link below. "]
[null,"https://www.gov.uk/guidance/request-your-personal-information-from-the-department-for-work-and-pensions"]
[]
[null,"You can also change the information you have provided and or withdraw the information "]
[null,"DWP holds about you."]
[null,"https://www.gov.uk/government/organisations/department-for-work-pensions/about/personal-information-charter#dpo"]
[]
[null,"You can do this by contacting our Data Protection Officer at: "]
[null,"data.protectionofficer@dwp.gsi.gov.uk."]
[]
[null,"The legal basis for processing your data:"]
[null,"DWP have a public function to evaluate and assess their programmes. Data processing will "]
[null,"be carried out under Article 6 of the GDPR which states: the processing is necessary for the "]
[null,"performance of a task carried out in the public interest or in the exercise of official authority "]
[null,"vested in the controller Art 6(1)(e)"]
[]
[null,"How long will the information be kept?"]
[null,"We will only keep your data until the end of the evaluation of the Reducing Parental Conflict "]
[null,"Programme. This is set to end in 2023."]
[]
[null,"By opting to complete this section, you are agreeing to supply your data under the terms "]
[null,"above."]
[]
[]
[null,"Your Name :",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D415>0,D415,\"Must Complete\")","v":"Must Complete"}]
[]
[null,"Job Title :",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D417>0,D417,\"Must Complete\")","v":"Must Complete"}]
[]
[null,"Team :",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D419>0,D419,\"Must Complete\")","v":"Must Complete"}]
[]
[null,"Service :",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D421>0,D421,\"Must Complete\")","v":"Must Complete"}]
[]
[null,"Organsation:",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D423>0,D423,\"Must Complete\")","v":"Must Complete"}]
[]
[null,"Email :",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D425>0,D425,\"Must Complete\")","v":"Must Complete"}]
[]
[null,"Phone Number :",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D427>0,\"+44 \"&D427,\"Must Complete\")","v":"Must Complete"}]
[]
[null,"Date Completed :",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D429>0,D429,\"Must Complete\")","v":"Must Complete"}]
[]
[null,"Local Authority",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D431>0,D431,\"Must Complete\")","v":"Must Complete"}]
[]
[null,"Have you had any of the following training / awareness sessions?"]
[]
[null,"Process Training  / Awareness Overview"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L438=1,\"More than 2 Months ago\",IF(L438=2,\"Up to 3 months ago\",IF(L438=3,\"Not received\",\"Please complete\")))","v":"Please complete"}]
[null,"Practitioner Training supplied by DWP/ Knowledgepool (Online)"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L442=1,\"More than 2 Months ago\",IF(L442=2,\"Up to 3 months ago\",IF(L442=3,\"Not received\",\"Please complete\")))","v":"Please complete"}]
[null,"Practitioner Training supplied by DWP/ Knowledgepool (Classroom Based)"]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L445=1,\"More than 2 Months ago\",IF(L445=2,\"Up to 3 months ago\",IF(L445=3,\"Not received\",\"Please complete\")))","v":"Please complete"}]
[]
[]
[null,"Other (Please Specify)",null,null,null,null,null,null,null,null,null,{"$f":"E448","v":0},{"$f":"IF(L448>0, L448, \"Other Training not specified\")","v":"Other Training not specified"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L451=1,\"More than 2 Months ago\",IF(L451=2,\"Up to 3 months ago\",IF(L451=3,\"Not received\",\"Please complete\")))","v":"Please complete"}]
[]
[null,"Are the family already being supported by any of the following? "]
[]
[null,"No support"]
[null,"Children's Social Care"]
[null,"Early Help"]
[null,"Other (Please specify below)",null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L458=1, \"No Support\", IF(L458=2, \"Children's Social Care\", IF(L458=3, \"Early Help\", IF(L458=4, \"Other-see below\", \"Must Complete\"))))","v":"Must Complete"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(B459>0, B459, \"No Other Support Specified\")","v":"No Other Support Specified"}]
[null,"Additional Information / Risk Assessment Details"]
[null,"Please give details"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(B463>0, B463, 0)","v":0},{"$f":"IF(L463>0, L463, \"Additional Information not entered\")","v":"Additional Information not entered"}]
[]
[]
[null,null,{"$f":"IF(L466>0, \"One or more questions are incomplete, please complete them.\", \"\")","v":"One or more questions are incomplete, please complete them."},null,null,null,null,null,null,null,null,{"$f":"COUNTIF(M366:M432, \"Must Complete\")","v":9}]
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[]
[" Tab for CPA Admin Use Only"]
[]
[]
["Date RSQ Completed","Parent Name","Date of Birth","Phone Number","Practitioner","Role","Team","Service","Organisation","Email","Phone","LA","Workless Household","Support Level","PWC"]
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[null,null,null,null,null,null,null,null,"Enter UIN Below"]
[null,"Linked Co-Parent"]
[null,{"$f":"Questionnaire!M184","v":"Co-Parent details not supplied"},{"$f":"Questionnaire!M186","v":"Co-Parent details not supplied"},null,null,null,null,null,"TEST","*Copy and paste yellow cell data to UIN spreadsheet "]
[null,null,null,null,null,null,null,null,null,"to assign a UIN"]
[null,null,null,null,null," Use this button  to send the full RSQ to DWP"]
[null,null,null,null,null,null,null,null,"TEST2"]
[null,null,null,null,null," Use this button to send RSQ data to the Provider"]

{"sheet":"DWP","index":2,"n_rows":215,"n_cols":10,"rows_kept":215,"cut":false,"hidden":true,"merged":[[40,1,40,2],[40,3,40,8],[38,1,38,2],[38,3,38,8],[39,1,39,2],[39,3,39,8],[46,1,46,2],[46,3,46,8],[47,1,47,2],[47,3,47,8],[41,1,41,2],[41,3,41,8],[42,1,42,2],[42,3,42,8],[44,1,44,2],[44,3,44,8],[43,1,43,2],[43,3,43,8],[213,1,213,5],[214,1,214,5],[192,3,192,8],[194,3,194,8],[196,3,196,8],[198,3,198,8],[206,2,206,5],[23,1,24,9],[190,3,190,8],[210,1,210,5],[211,1,211,5],[212,1,212,5],[188,3,188,8],[76,3,76,6],[78,3,78,6],[184,3,184,8],[186,3,186,8],[48,1,48,2],[48,3,48,8],[52,1,52,6],[52,7,52,8],[45,1,45,2],[45,3,45,8]]}
[null,"Level of Support Required = ",null,null,{"$f":"Admin!B15","v":"Participation Statement not Completed DO NOT FORWARD"}]
[null,"Workless Household",null,{"$f":"CPA!M6","v":"Not Completed"}]
[]
[null,"Reducing Parental Conflict Programme"]
[null,"Referral Stage Questionnaire "]
[null,"For parents expecting their first child who are  currently in a relationship"]
[null,"together"]
[]
[null,"Please read the following instructions."]
[]
[null,"Please could you answer all questions in Part 1 asking for information relating to you "]
[null,"and your family."]
[]
[null,"Once you have provided your information please move on to Part 2. Please answer "]
[null,"all questions in this section."]
[]
[null,"Once completed please return the questionnaire to the person who gave it to "]
[null,"you"]
[]
[null,"Additional Needs - "]
[null,{"$f":"Questionnaire!M25","v":"Must Complete"}]
[]
[null,"Details"]
[null,{"$f":"Questionnaire!M27","v":"Additional Needs not entered"}]
[]
[]
[null,"Participation Agreement"]
[null,{"$f":"Questionnaire!M31","v":"Must Complete"}]
[]
[null,"PART 1"]
[]
[null,"Parent information"]
[]
[null,"This section collects important information about you and your family."]
[null,"Please complete all questions in this section."]
[]
[null,"About You"]
[]
[null,null,null,"Please complete below"]
[null,"Title",null,{"$f":"Questionnaire!M52","v":"Must Complete"}]
[null,"Forenames",null,{"$f":"Questionnaire!M53","v":"Must Complete"}]
[null,"Surname",null,{"$f":"Questionnaire!M54","v":"Must Complete"}]
[null,"Date of birth\n(dd/mm/yyyy)",null,{"$f":"Questionnaire!M55","v":"Must Complete"}]
[null,"UIN",null,{"$f":"CPA!I9","v":"TEST"}]
[null,"Telephone\nnumber (mobile)",null,{"$f":"Questionnaire!M56","v":"Must Complete"}]
[null,"Alternative\ntelephone \nnumber (e.g. landline)",null,{"$f":"Questionnaire!M57","v":"No alternative number supplied"}]
[null,"Address",null,{"$f":"Questionnaire!M58","v":"Must Complete"}]
[null,"Post code",null,{"$f":"Questionnaire!M59","v":"Must Complete"}]
[null,"Email",null,{"$f":"Questionnaire!M60","v":"No email address supplied"}]
[]
[null,"What is your gender identity? Please select below."]
[null,{"$f":"Questionnaire!M68","v":"Must Complete"}]
[]
[null,"Disability:"]
[null,{"$f":"Questionnaire!M76","v":"Must Complete"}]
[]
[null,"What is your ethnic group? "]
[null,{"$f":"Questionnaire!M111","v":"Must Complete"}]
[null,{"$f":"Questionnaire!N111","v":"None Selected"}]
[]
[null,"What is your marital status?"]
[null,{"$f":"Questionnaire!M127","v":"Must Complete"}]
[]
[null,"How many children do you have primary or shared care responsibility for?"]
[null,{"$f":"Questionnaire!M137","v":"Must Complete"}]
[]
[null,"Which of these best describes your current employment status?"]
[null,{"$f":"Questionnaire!M155","v":"Must Complete"}]
[]
[null,"Are you presently or have you ever experienced mental health problems? "]
[null,{"$f":"Questionnaire!M165","v":"Must Complete"}]
[]
[null,"What is your relationship with the person you are currently experiencing"]
[null,"conflict with? "]
[null,{"$f":"Questionnaire!M177","v":"Must Complete"}]
[]
[null,"Their name",null,{"$f":"Questionnaire!M184","v":"Co-Parent details not supplied"}]
[]
[null,"Their UIN",null,{"$f":"IF(CPA!I12>0, CPA!I12, \"INCOMPLETE\")","v":"TEST2"}]
[]
[]
[null,"PART 2"]
[null,"Questionnaire for parents expecting their first child who "]
[null,"are currently in a relationship together"]
[]
[null,"There are two sections of questions in this part of the questionnaire. Please answer "]
[null,"all questions to the best of your ability, even if they do not seem entirely relevant to "]
[null,"you. "]
[]
[null,"Once you have finished these questions, please return the questionnaire to the "]
[null,"person who gave it to you. "]
[]
[null,"Section 1:  You and your spouse/partner"]
[]
[null,"Please think about the times during the last 4 weeks when you and your spouse/partner"]
[null,"have spent time talking or doing things together."]
[]
[null,"With those times in mind, please indicate how often your spouse/partner acted in the "]
[null,"following ways towards you. During the past 4 weeks, how often did your "]
[null,"spouse/partner…",null,"Score from 1 (Always) to 7 (Never)"]
[]
[null,"1. Let you know they really care about you"]
[null,{"$f":"Questionnaire!M212","v":"Must Complete"}]
[]
[null,"2. Was loving and / or affectionate towards you"]
[null,{"$f":"Questionnaire!M218","v":"Must Complete"}]
[]
[null,"3. Let you know that they appreciate your ideas or the things you do"]
[null,{"$f":"Questionnaire!M224","v":"Must Complete"}]
[]
[null,"4. Help you to do something that is important to you"]
[null,{"$f":"Questionnaire!M230","v":"Must Complete"}]
[]
[null,"5. Be supportive and understanding towards you"]
[null,{"$f":"Questionnaire!M236","v":"Must Complete"}]
[]
[null,"6. Criticise you"]
[null,{"$f":"Questionnaire!M242","v":"Must Complete"}]
[]
[null,"7. Argue with you when you disagreed about something"]
[null,{"$f":"Questionnaire!M248","v":"Must Complete"}]
[]
[null,"8. Get angry at you"]
[null,{"$f":"Questionnaire!M254","v":"Must Complete"}]
[]
[null,"9. Shout at you because they were upset with you"]
[null,{"$f":"Questionnaire!M260","v":"Must Complete"}]
[]
[null,"Section 2:  Agreement in relationships"]
[]
[null,"Most people have disagreements in their relationships. Please select how often you"]
[null,"and your spouse / partner agree or disagree about the following:"]
[null,"Scoring from 5(Always Agree) to 0(Always Disagree)"]
[]
[null,"1. Philosophy of life (Your approach to life)"]
[null,{"$f":"Questionnaire!M272","v":"Must Complete"}]
[]
[null,"2. Aims, goals, and things you believe are important"]
[null,{"$f":"Questionnaire!M218","v":"Must Complete"}]
[]
[null,"3. Amount of time spent together"]
[null,{"$f":"Questionnaire!M284","v":"Must Complete"}]
[]
[null,"Please circle how often you would say the following events occur between you and"]
[null,"your spouse / partner?"]
[null,"Scoring from 5(More than once a day) to 0 (Never)"]
[]
[null,"4. Have a stimulating exchange of ideas (A meaningful discussion)"]
[null,{"$f":"Questionnaire!M293","v":"Must Complete"}]
[]
[null,"5. Calmly discuss something together"]
[null,{"$f":"Questionnaire!M301","v":"Must Complete"}]
[]
[null,"6. Plan something together"]
[null,{"$f":"Questionnaire!M309","v":"Must Complete"}]
[]
[null,"7. The following represent different degrees of happiness in your relationship. "]
[null,"The middle point, “happy,” represents the degree of happiness of most relationships. "]
[null,"Please select the degree of happiness, all things considered, in your relationship."]
[null,{"$f":"Questionnaire!M318","v":"Must Complete"}]
[]
[null,"8. How often do you discuss or have you considered divorce, separation "]
[null,"or ending your relationship?"]
[null,{"$f":"Questionnaire!M330","v":"Must Complete"}]
[]
[null,"9. Do you ever regret that you married? (or lived together)"]
[null,{"$f":"Questionnaire!M337","v":"Must Complete"}]
[]
[null,"10. How often do you and your spouse / partner argue?"]
[null,{"$f":"Questionnaire!M344","v":"Must Complete"}]
[]
[null,"11. How often do you and your spouse / partner “get on each other’s nerves”?"]
[null,{"$f":"Questionnaire!M351","v":"Must Complete"}]
[]
[null,null,null,null,null,"END OF QUESTIONS"]
[]
[null,null,null,null,null,"Thank you for completing this questionnaire"]
[]
[]
[]
[]
[]
[null,"For use by staff member"]
[]
[null,"Your Name :",null,{"$f":"Questionnaire!M415","v":"Must Complete"}]
[]
[null,"Job Title :",null,{"$f":"Questionnaire!M417","v":"Must Complete"}]
[]
[null,"Team :",null,{"$f":"Questionnaire!M419","v":"Must Complete"}]
[]
[null,"Service :",null,{"$f":"Questionnaire!M421","v":"Must Complete"}]
[]
[null,"Email :",null,{"$f":"Questionnaire!M425","v":"Must Complete"}]
[]
[null,"Phone Number :",null,{"$f":"Questionnaire!M427","v":"Must Complete"}]
[]
[null,"Date Completed :",null,{"$f":"Questionnaire!M429","v":"Must Complete"}]
[]
[null,"Local Authority:",null,{"$f":"Questionnaire!M431","v":"Must Complete"}]
[]
[null,"If you have received any of the following training to deliver this programme "]
[null,"please supply date completed"]
[]
[null,"Process Training  / Awareness Overview",null,null,null,null,null,null,null,{"$f":"Questionnaire!M438","v":"Please complete"}]
[null,"Practitioner Training supplied by DWP/ Knowledgepool (Online)",null,null,null,null,null,null,null,{"$f":"Questionnaire!M442","v":"Please complete"}]
[null,"Practitioner Training supplied by DWP/ Knowledgepool (Classroom Based)",null,null,null,null,null,null,null,{"$f":"Questionnaire!M445","v":"Please complete"}]
[null,"Other",{"$f":"Questionnaire!M448","v":"Other Training not specified"},null,null,null,null,null,null,{"$f":"Questionnaire!M451","v":"Please complete"}]
[]
[null,"Are the family already being supported by any of the following? "]
[]
[null,"No support"]
[null,"Children's Social Care",null,null,null,null,null,null,null,{"$f":"Questionnaire!M458","v":"Must Complete"}]
[null,"Early Help"]
[null,"Other (Please specify below)"]
[null,{"$f":"Questionnaire!M460","v":"No Other Support Specified"}]

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[null,"Level of Support Required = ",null,null,{"$f":"Admin!B15","v":"Participation Statement not Completed DO NOT FORWARD"}]
[null,"Workless Household",null,{"$f":"CPA!M6","v":"Not Completed"}]
[]
[null,"Reducing Parental Conflict Programme"]
[null,"Referral Stage Questionnaire "]
[null,"For parents expecting their first child who are  currently in a relationship"]
[null,"together"]
[]
[null,"Please read the following instructions."]
[]
[null,"Please could you answer all questions in Part 1 asking for information relating to you "]
[null,"and your family."]
[]
[null,"Once you have provided your information please move on to Part 2. Please answer "]
[null,"all questions in this section."]
[]
[null,"Once completed please return the questionnaire to the person who gave it to "]
[null,"you"]
[]
[null,"Additional Needs - "]
[null,{"$f":"Questionnaire!M25","v":"Must Complete"}]
[]
[null,"Details"]
[null,{"$f":"IF(Questionnaire!B27>0, Questionnaire!B27, \"INCOMPLETE\")","v":"INCOMPLETE"}]
[]
[]
[null,"Participation Agreement"]
[null,{"$f":"Questionnaire!M31","v":"Must Complete"}]
[]
[null,"PART 1"]
[]
[null,"Parent information"]
[]
[null,"This section collects important information about you and your family."]
[null,"Please complete all questions in this section."]
[]
[null,"About You"]
[]
[null,null,null,"Please complete below"]
[null,"Title",null,{"$f":"Questionnaire!M52","v":"Must Complete"}]
[null,"Forenames",null,{"$f":"Questionnaire!M53","v":"Must Complete"}]
[null,"Surname",null,{"$f":"Questionnaire!M54","v":"Must Complete"}]
[null,"UIN",null,{"$f":"CPA!I9","v":"TEST"}]
[null,"Telephone\nnumber (mobile)",null,{"$f":"Questionnaire!M55","v":"Must Complete"}]
[null,"Alternative\ntelephone \nnumber (e.g. landline)",null,{"$f":"Questionnaire!M57","v":"No alternative number supplied"}]
[null,"Address",null,{"$f":"Questionnaire!M58","v":"Must Complete"}]
[null,"Post code",null,{"$f":"Questionnaire!M59","v":"Must Complete"}]
[null,"Email",null,{"$f":"Questionnaire!M60","v":"No email address supplied"}]
[]
[]
[null,"How many children do you have primary or shared care responsibility for?"]
[null,{"$f":"Questionnaire!M137","v":"Must Complete"}]
[]
[null,"Which of these best describes your current employment status?"]
[null,{"$f":"Questionnaire!M155","v":"Must Complete"}]
[]
[null,"What is your relationship with the person you are currently experiencing"]
[null,"conflict with? "]
[null,{"$f":"Questionnaire!M177","v":"Must Complete"}]
[]
[null,"Their name",null,{"$f":"Questionnaire!M184","v":"Co-Parent details not supplied"}]
[]
[null,"Their UIN",null,{"$f":"IF(CPA!I12>0, CPA!I12, \"INCOMPLETE\")","v":"TEST2"}]
[]
[]
[null,"PART 2 - About Your Circumstances"]
[]
[null,"There are two sections of questions in this part of the questionnaire. Please answer "]
[null,"all questions to the best of your ability, even if they do not seem entirely relevant to "]
[null,"you. "]
[]
[null,"Once you have finished these questions, please return the questionnaire to the "]
[null,"person who gave it to you. "]
[]
[null,"Section 1:  You and your spouse/partner"]
[]
[null,"Please think about the times during the last 4 weeks when you and your spouse/partner"]
[null,"have spent time talking or doing things together."]
[]
[null,"With those times in mind, please indicate how often your spouse/partner acted in the "]
[null,"following ways towards you. During the past 4 weeks, how often did your "]
[null,"spouse/partner…",null,"Score from 1 (Always) to 7 (Never)"]
[]
[null,"1. Let you know they really care about you"]
[null,{"$f":"Questionnaire!M212","v":"Must Complete"}]
[]
[null,"2. Was loving and / or affectionate towards you"]
[null,{"$f":"Questionnaire!M218","v":"Must Complete"}]
[]
[null,"3. Let you know that they appreciate your ideas or the things you do"]
[null,{"$f":"Questionnaire!M224","v":"Must Complete"}]
[]
[null,"4. Help you to do something that is important to you"]
[null,{"$f":"Questionnaire!M230","v":"Must Complete"}]
[]
[null,"5. Be supportive and understanding towards you"]
[null,{"$f":"Questionnaire!M236","v":"Must Complete"}]
[]
[null,"6. Criticise you"]
[null,{"$f":"Questionnaire!M242","v":"Must Complete"}]
[]
[null,"7. Argue with you when you disagreed about something"]
[null,{"$f":"Questionnaire!M248","v":"Must Complete"}]
[]
[null,"8. Get angry at you"]
[null,{"$f":"Questionnaire!M254","v":"Must Complete"}]
[]
[null,"9. Shout at you because they were upset with you"]
[null,{"$f":"Questionnaire!M260","v":"Must Complete"}]
[]
[null,"Section 2:  Agreement in relationships"]
[]
[null,"Most people have disagreements in their relationships. Please select how often you"]
[null,"and your spouse / partner agree or disagree about the following:"]
[null,"Scoring from 5(Always Agree) to 0(Always Disagree)"]
[]
[null,"1. Philosophy of life (Your approach to life)"]
[null,{"$f":"Questionnaire!M272","v":"Must Complete"}]
[]
[null,"2. Aims, goals, and things you believe are important"]
[null,{"$f":"Questionnaire!M218","v":"Must Complete"}]
[]
[null,"3. Amount of time spent together"]
[null,{"$f":"Questionnaire!M284","v":"Must Complete"}]
[]
[null,"Please circle how often you would say the following events occur between you and"]
[null,"your spouse / partner?"]
[null,"Scoring from 5(More than once a day) to 0 (Never)"]
[]
[null,"4. Have a stimulating exchange of ideas (A meaningful discussion)"]
[null,{"$f":"Questionnaire!M293","v":"Must Complete"}]
[]
[null,"5. Calmly discuss something together"]
[null,{"$f":"Questionnaire!M301","v":"Must Complete"}]
[]
[null,"6. Plan something together"]
[null,{"$f":"Questionnaire!M309","v":"Must Complete"}]
[]
[null,"7. The following represent different degrees of happiness in your relationship. "]
[null,"The middle point, “happy,” represents the degree of happiness of most relationships. "]
[null,"Please select the degree of happiness, all things considered, in your relationship."]
[null,{"$f":"Questionnaire!M318","v":"Must Complete"}]
[]
[null,"8. How often do you discuss or have you considered divorce, separation "]
[null,"or ending your relationship?"]
[null,{"$f":"Questionnaire!M330","v":"Must Complete"}]
[]
[null,"9. Do you ever regret that you married? (or lived together)"]
[null,{"$f":"Questionnaire!M337","v":"Must Complete"}]
[]
[null,"10. How often do you and your spouse / partner argue?"]
[null,{"$f":"Questionnaire!M344","v":"Must Complete"}]
[]
[null,"11. How often do you and your spouse / partner “get on each other’s nerves”?"]
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[]
[null,null,null,null,null,"END OF QUESTIONS"]
[]
[null,null,null,null,null,"Thank you for completing this questionnaire"]
[]
[]
[]
[null,"For use by staff member"]
[]
[null,"Your Name :",null,{"$f":"Questionnaire!M415","v":"Must Complete"}]
[]
[null,"Local Authority :",null,{"$f":"Questionnaire!M431","v":"Must Complete"}]
[]
[null,"Phone Number :",null,{"$f":"Questionnaire!M427","v":"Must Complete"}]
[]
[null,"Date Completed :",null,{"$f":"Questionnaire!M429","v":"Must Complete"}]
[]
[null,"Additional Information / Risk Assessment Details"]
[null,"Please give details"]
[null,{"$f":"Questionnaire!M463","v":"Additional Information not entered"}]

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["***** FOR ADMINISTRATION USE ONLY ******"]
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["CPA Email","rpcgateway@gateshead.gov.uk"]
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["DWP Email","RPC.REFERRALTEAM@DWP.GSI.GOV.UK"]
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["Provider Email","RPC@relate.org.uk"]
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["Inter-parental conflict"]
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[null,4,{"$f":"Questionnaire!M293","v":"Must Complete"},0]
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[null,6,{"$f":"Questionnaire!M309","v":"Must Complete"},0]
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[]
["Scores"]
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