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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 who are  no longer in a relationship together/separated"]
[]
[]
[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"},{"$f":"IF(B27>0, \"Additional Needs Entered\", \"Additional Needs not entered\")","v":"Additional Needs not entered"}]
[]
[null,"I have completed a separate Participation Agreement with the person who gave me the "]
[null,"questionnaire",null,null,null,null,null,null,null,null,null,false,{"$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,{"$f":"IF(L76=0, \"Must Complete\", IF(L76=1, \"Prefer not to say\", IF(L76=2, \"No\", IF(L76=3, \"Yes\",\"Incorrect\"))))","v":"Must Complete"}]
[]
[]
[]
[null,"What is your ethnic group? Select one option that best describes your ethnic group "]
[null,"or background."]
[]
[null,"White"]
[null,"    1.  English/Welsh/Scottish/Northern Irish/British"]
[null,"    2.  Irish"]
[null,"    3.  Gypsy or Irish Traveller"]
[null,"    4.  Any other white background. Please describe below:"]
[]
[null,"Mixed/ Multiple Ethnic Groups"]
[null,"    5.  White and Black Caribbean"]
[null,"    6.  White and Black African"]
[null,"    7.  White and Asian"]
[null,"    8.  Any other Mixed/Multiple ethnic background. Please \n         describe below:"]
[]
[null,"Asian/Asian British"]
[null,"    9.  Indian"]
[null,"    10. Pakistani"]
[null,"    11. Bangladeshi"]
[null,"    12. Chinese"]
[null,"    13. Any other Asian background. Please describe below:"]
[]
[null,"Black/African/Caribbean/Black British "]
[null,"    14. African"]
[null,"    15.  Caribbean"]
[null,"    16. Any other Black/African/Caribbean background. Please\n          describe below:"]
[]
[null,"Other ethnic group "]
[null,"    17. Arab"]
[null,"    18. Any other ethnic group. Please describe below:"]
[]
[null,"    19. Prefer not to say",null,null,null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(L111=4, B88, IF(L111=8, B94, IF(L111=13,B101,  IF(L111=16, B106, IF(L111=18, B110, \"None Selected\")))))","v":"None Selected"}]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(L111>0,L111,\"Must Complete\")","v":"Must Complete"},{"$f":"IF(L111=0, \"None Selected\", IF(L112=\"None Selected\", \"Standard Ethnicity Type\",  IF(L112=0, \"Please Select/Enter Type\",L112)))","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,{"$f":"IF(L127=1,\"Single\",IF(L127=2,\"Married or Civil Partnership\",IF(L127=3,\"Living Together\",IF(L127=4,\"Steady Relationship\",IF(L127=5,\"Separated\",IF(L127=6,\"Divorced\",IF(L127=7,\"Widowed\", IF(L127=8, \"Prefer not to say\", IF(L127=9, \"Other\", \"Must Complete\")))))))))","v":"Must Complete"}]
[]
[null,"How many children do you currently have primary or shared care responsibility for?"]
[]
[null,"Expecting first child"]
[null,1]
[null,2]
[null,3]
[null,"4 or more"]
[null,"None",null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L136=1,\"Expecting first child\",IF(L136=2,1,IF(L136=3,2,IF(L136=4,3,IF(L136=5,\"4 or more\",IF(L136=6,\"None\",\"Must Complete\"))))))","v":"Must Complete"}]
[]
[null,"Do the children spend more time living with"]
[null,"You"]
[null,"Your Ex-Partner",null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L140=1,\"You\",IF(L140=2,\"Your Ex-Partner\",\"Must Complete\"))","v":"Must Complete"}]
[]
[null,"Are you or your partner pregnant now?"]
[]
[null,"Yes"]
[null,"No"]
[null,"Don't know"]
[null,"Prefer not to say",null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L147=1, \"Yes\", IF(L147=2,\"No\", IF(L147=3, \"Don't Know\", IF(L147=4, \"Prefer not to say\", \"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,{"$f":"IF(L165=1,\"Self employed\",IF(L165=2,\"Full time employment\",IF(L165=3,\"Part time employment\",IF(L165=4,\"Unemployed\",IF(L165=5,\"Retired\",IF(L165=6,\"Looking after family or home\",IF(L165=7,\"Full time student\",IF(L165=8,\"Long term sick/disabled\",(IF(L165=9,\"On a government training scheme\",IF(L165=10,\"Doing something else\",IF(L165=11,\"Prefer not to say\",\"Must Complete\"))))))))))))","v":"Must Complete"}]
[]
[]
[]
[null,"Are you presently or have you ever experienced mental health problems? "]
[]
[null,"No, and I have no mental health diagnosis"]
[null,"No, but I do have a mental health diagnosis"]
[null,"Yes, but I do not have a mental health diagnosis"]
[null,"Yes, and I have a mental health diagnosis"]
[null,"Don't know"]
[null,"Prefer not to say",null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L176=1, \"No, No diagnosis\", IF(L176=2, \"No, Have diagnosis\", IF(L176=3, \"Yes, No diagnosis\", IF(L176=4, \"Yes, Have diagnosis\", IF(L176=5, \"Don't know\", IF(L176=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,{"$f":"IF(L188=1, \"Married or Civil Partnership\", IF(L188=2, \"Living Together\", IF(L188=3, \"Steady Relationship\", IF(L188=4, \"Separated\", IF(L188=5, \"Divorced\", IF(L188=6, \"Other\", IF(L188=7, \"Prefer not to say\", \"Must Complete\")))))))","v":"Must Complete"}]
[]
[null,"I understand that the provision is most effective when both parents attend together.  I am "]
[null,"supplying the other parent’s details below so that we can be referred to provision together. I "]
[null,"understand that if both parents are unable to attend this provision, then I may not be able to"]
[null,"receive this support as some types are only able to proceed with both parents."]
[]
[null,"Their name",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D195>0, D195, \"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,{"$f":"IF(D197>0, D197, \"Co-Parent details not supplied\")","v":"Co-Parent details not supplied"}]
[null,"(dd/mm/yyyy)"]
[]
[null,"PART 2 - About Your Circumstances"]
[]
[null,"There are two sections of questions in this part of the questionnaire. Please answer "]
[null,"all questions to the best of your ability, even if they do not seem entirely relevant to "]
[null,"you. "]
[]
[null,"Once you have finished these questions, please return the questionnaire to the "]
[null,"person who gave it to you. "]
[]
[]
[null,"Section 1:  Interacting with each other"]
[]
[null,"Considering the last 4 weeks, how often does the following occur between you and"]
[null,"your former (Ex) partner/spouse? Please answer as best as you can, selecting your "]
[null,"response for each question"]
[null,"With those times in mind, please indicate how often your spouse/partner acted in the "]
[null,"following ways towards you. During the past 4 weeks, how often did your "]
[null,"spouse/partner…"]
[]
[null,"1. When you & your former partner/spouse discuss parenting issues, how often does it "]
[null,"lead to an argument?"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L224>0, L224, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"2. How often is the atmosphere one of hostility and anger?"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L230>0, L230, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"3. How often are your conversations stressful and tense?"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L236>0, L236, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"4. Do you and your former partner/spouse have basic differences of opinion"]
[null," about issues related to raising your child / parenting? "]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L243>0, L243, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"5. When you need help regarding the children, do you ask for it from your former"]
[null," partner/spouse?"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L250>0, L250, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"6. Is your former partner/spouse helpful to you in raising your child / children?"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L256>0, L256, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"7. Would you say that you are helpful to your former partner/spouse in raising your children?"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L262>0, L262, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"8. If your former partner/spouse needs to make a change to visiting arrangements, do "]
[null,"you make a real effort to accommodate (make this work)?"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L269>0, L269, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"9. Does your former partner/spouse make a real effort to accommodate any changes "]
[null,"you need to make to visiting arrangements?"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L276>0, L276, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"10. Do you feel that your former partner/spouse understands and is supportive of your "]
[null,"needs as a parent (whether your children live with you or not)?"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L283>0, L283, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[null,"Section 2:  Conflict between parents"]
[]
[null,"Think back over the last 4 weeks and tell us how well you and your former"]
[null,"spouse /partner have related in the following ways:"]
[]
[null,"1. How well do you share responsibility for raising your child / children?"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L295>0, L295, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"2. How well do you communicate about your child / children?"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L301>0, L301, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"3. How often do you agree when making decisions about your child / children?"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L307>0, L307, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"How satisfied are you with:"]
[]
[null,"4. The amount of time your child / children spend with their other parent"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L315>0, L315, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"5. How your child / children spend this time with the other parent."]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L321>0, L321, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"6. Arrangements for child custody (who your child lives with)."]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L327>0, L327, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"7. Arrangements for visitation (with the other parent and relatives)."]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L333>0, L333, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"8. Arrangements for child support (financial)."]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L339>0, L339, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"We would now like to ask how frequently you and your former spouse/partner argue "]
[null,"about each of the following nine topics:"]
[]
[null,"9. Children"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L348>0, L348-1, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[null,"10. Money"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L355>0, L355-1, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[null,"11. Chores and responsibilities"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L362>0, L362-1, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[null,"12. Showing affection (towards each other)"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L369>0, L369-1, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[null,"13. Religion"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L376>0, L376-1, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[null,"14. Leisure time"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L383>0, L383-1, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[null,"15. Drinking"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L390>0, L390-1, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[null,"16. New partners"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L397>0, L397-1, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[null,"17. Relatives"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L404>0, L404-1, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[]
[]
[null,null,{"$f":"IF(L409>0, \"You have not completed one or more questions, please complete them.\", \"\")","v":"You have not completed one or more questions, please complete them."},null,null,null,null,null,null,null,null,{"$f":"COUNTIF(M31:M414, \"Must Complete\")","v":46}]
[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,{"$f":"IF(D464>0, D464, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"Job Title :",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D466>0, D466, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"Team :",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D468>0, D468, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"Service:",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D470>0, D470, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"Organisation  :",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D472>0, D472, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"Email :",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D474>0, D474, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"Phone Number :",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D476>0, \"+44 \"&D476, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"Date Completed :",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D478>0, D478, \"Must Complete\")","v":"Must Complete"}]
[]
[null,"Local Authority :",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(D480>0, D480, \"Must Complete\")","v":"Must Complete"}]
[]
[]
[null,"Have you had any of the following training / awareness sessions?"]
[]
[null,"Process Training  / Awareness Overview"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L488=1,\"More than 2 Months ago\",IF(L488=2,\"Up to 3 months ago\",IF(L488=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,{"$f":"IF(L492=1,\"More than 2 Months ago\",IF(L492=2,\"Up to 3 months ago\",IF(L492=3,\"Not received\",\"Please complete\")))","v":"Please complete"}]
[null,"Practitioner Training supplied by DWP/ Knowledgepool (Classroom Based)"]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L495=1,\"More than 2 Months ago\",IF(L495=2,\"Up to 3 months ago\",IF(L495=3,\"Not received\",\"Please complete\")))","v":"Please complete"}]
[]
[]
[null,"Other (Please Specify)",null,null,null,null,null,null,null,null,null,{"$f":"E498","v":0},{"$f":"IF(L498>0, L498, \"Other Training not specified\")","v":"Other Training not specified"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L501=1,\"More than 2 Months ago\",IF(L501=2,\"Up to 3 months ago\",IF(L501=3,\"Not received\",\"Please complete\")))","v":"Please complete"}]
[]
[null,"Are the family already being supported by any of the following? "]
[]
[null,"No support"]
[null,"Children's Social Care"]
[null,"Early Help"]
[null,"Other (Please specify below)",null,null,null,null,null,null,null,null,null,0,{"$f":"IF(L508>0,  L508, \"Must Complete\")","v":"Must Complete"}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(B509>0, B509, 0)","v":0},{"$f":"IF(L509>0, L509, \"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,{"$f":"IF(B513>0, B513, 0)","v":0},{"$f":"IF(L513>0, L513, \"Additional Information not entered\")","v":"Additional Information not entered"}]
[]
[]
[]
[null,null,{"$f":"IF(L517>0, \"One or more questions are incomplete, please complete them.\", \"\")","v":"One or more questions are incomplete, please complete them."},null,null,null,null,null,null,null,null,{"$f":"COUNTIF(M417:M508, \"Must Complete\")","v":10}]

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[]
["***** FOR ADMINISTRATION USE ONLY ******"]
[]
["CPA Email","rpcgateway@gateshead.gov.uk"]
[]
["DWP Email","RPC.REFERRALTEAM@DWP.GOV.UK"]
[]
["Provider Email","RPC@relate.org.uk"]
[]
[]
[]
[]
[]
[null,"Level Calculated"]
[null,{"$f":"IF(Questionnaire!L31,Scoring!H50, \"Participation Statement not Completed DO NOT FORWARD\")","v":"Participation Statement not Completed DO NOT FORWARD"}]
[]
[null,{"$f":"\"RSQ -  \"&B15","v":"RSQ -  Participation Statement not Completed DO NOT FORWARD"}]
[null,{"$f":"CPA!I9","v":"TEST"},null,null,null,null,null,null,null,{"$f":"CPA!I9","v":"TEST"}]

{"sheet":"CPA","index":2,"n_rows":13,"n_cols":15,"rows_kept":13,"cut":false,"hidden":true,"merged":[]}
[]
[" 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","Main Carer"]
[{"$f":"Questionnaire!M478","v":"Must Complete"},{"$f":"Questionnaire!M52&\" \"&Questionnaire!M53&\" \"&Questionnaire!M54","v":"Must Complete Must Complete Must Complete"},{"$f":"Questionnaire!M55","v":"Must Complete"},{"$f":"Questionnaire!M56","v":"Must Complete"},{"$f":"Questionnaire!M464","v":"Must Complete"},{"$f":"Questionnaire!M466","v":"Must Complete"},{"$f":"Questionnaire!M468","v":"Must Complete"},{"$f":"Questionnaire!M470","v":"Must Complete"},{"$f":"Questionnaire!M472","v":"Must Complete"},{"$f":"Questionnaire!M474","v":"Must Complete"},{"$f":"Questionnaire!M476","v":"Must Complete"},{"$f":"Questionnaire!M480","v":"Must Complete"},{"$f":"IF(Questionnaire!M38=\"Yes\", \"No\", IF(Questionnaire!M38=\"No\", \"Yes\", \"Not Completed\"))","v":"Not Completed"},{"$f":"Admin!B15","v":"Participation Statement not Completed DO NOT FORWARD"},{"$f":"IF(Questionnaire!$L140=1, \"Yes\", IF(Questionnaire!$L140=2, \"No\", \"Must Complete\"))","v":"Must Complete"}]
[null,null,null,null,null,null,null,null,"Enter UIN Below"]
[null,"Linked Co-Parent"]
[null,{"$f":"Questionnaire!M195","v":"Co-Parent details not supplied"},{"$f":"Questionnaire!M197","v":"Co-Parent details not supplied"},null,null,null,null,null,"TEST",null,"*Copy and paste yellow cell data to UIN spreadsheet "]
[null,null,null,null,null,null,null,null,null,null,"to assign a UIN"]
[null,null,null,null," Use this button  to send the full RSQ to DWP"]
[null,null,null,null,null,null,null,null,"JY"]
[null,null,null,null," Use this button to send RSQ data to the Provider"]

{"sheet":"DWP","index":3,"n_rows":257,"n_cols":10,"rows_kept":257,"cut":false,"hidden":true,"merged":[[247,2,247,5],[256,1,256,5],[252,1,252,5],[253,1,253,5],[254,1,254,5],[255,1,255,5],[22,1,22,9],[37,1,37,2],[37,3,37,8],[38,1,38,2],[38,3,38,8],[39,1,39,2],[39,3,39,8],[44,1,44,2],[44,3,44,8],[45,1,45,2],[45,3,45,8],[46,1,46,2],[46,3,46,8],[40,1,40,2],[40,3,40,8],[42,1,42,2],[42,3,42,8],[43,1,43,2],[43,3,43,8],[41,1,41,2],[41,3,41,8],[47,1,47,2],[47,3,47,8],[83,3,83,6],[85,3,85,6],[222,3,222,8],[238,3,238,8],[224,3,224,8],[226,3,226,8],[232,3,232,8],[234,3,234,8],[236,3,236,8],[228,3,228,8],[230,3,230,8]]}
[]
[null,"Level Of Support Required:",null,null,{"$f":"CPA!N6","v":"Participation Statement not Completed DO NOT FORWARD"}]
[null,"Workless Household",null,null,{"$f":"CPA!M6","v":"Not Completed"}]
[]
[null,"Reducing Parental Conflict Programme"]
[null,"Referral Stage Questionnaire "]
[null,"For parents who are  no longer in a relationship together/separated"]
[]
[]
[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 - I have told the person who gave me this questionnaire about anything that might"]
[null,"make it difficult for me to take part (including any needs for interpreters etc.)"]
[null,{"$f":"Questionnaire!M25","v":"Must Complete"}]
[null,{"$f":"Questionnaire!M28","v":"Additional Needs not entered"}]
[]
[null,"Participation Agreement :",null,null,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,{"$f":"IF(CPA!I9>0, CPA!I9, \"INCOMPLETE\")","v":"TEST"}]
[null,"Date of birth\n(dd/mm/yyyy)",null,{"$f":"Questionnaire!M55","v":"Must Complete"}]
[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,{"$f":"Questionnaire!M76","v":"Must Complete"}]
[]
[null,"What is your ethnic group? Select one option that best describes your ethnic group "]
[null,"or background."]
[null,{"$f":"Questionnaire!M113","v":"Must Complete"},null,{"$f":"Questionnaire!N113","v":"None Selected"}]
[]
[]
[null,"Please answer the following questions by selecting your answer."]
[]
[null,"What is your marital status?"]
[null,{"$f":"Questionnaire!M127","v":"Must Complete"}]
[]
[null,"How many children do you have primary or shared care responsibility for?"]
[null,{"$f":"Questionnaire!M136","v":"Must Complete"}]
[]
[null,"Are you or your partner pregnant now?"]
[null,{"$f":"Questionnaire!M147","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,{"$f":"Questionnaire!M165","v":"Must Complete"}]
[]
[null,"Are you presently or have you ever experienced mental health problems? "]
[null,{"$f":"Questionnaire!M176","v":"Must Complete"}]
[]
[null,"What is your relationship with the person you are currently experiencing"]
[null,"conflict with? "]
[null,{"$f":"Questionnaire!M188","v":"Must Complete"}]
[]
[null,"Their name",null,{"$f":"Questionnaire!M195","v":"Co-Parent details not supplied"}]
[]
[null,"Their UIN",null,{"$f":"IF(CPA!I12>0, CPA!I12, \"INCOMPLETE\")","v":"JY"}]
[]
[]
[null,"PART 2"]
[null,"Questionnaire for parents who are no longer in a"]
[null,"relationship together / separated"]
[]
[null,"Important: Please only answer these questions if you are no longer  in a "]
[null,"relationship together / have separated from with the parent with whom "]
[null,"you are experiencing conflict. "]
[]
[null,"If you are still in a relationship with the other parent then please ask"]
[null,"the member of staff to give you the appropriate questionnaire. "]
[]
[null,"There are two sections of questions in this part of the questionnaire. Please answer "]
[null,"all questions to the best of your ability, even if they do not seem entirely relevant to "]
[null,"you. "]
[]
[null,"Once you have finished these questions, please return the questionnaire to the "]
[null,"person who gave it to you. "]
[]
[]
[null,"Section 1:  Interacting with each other"]
[]
[null,"Considering the last 4 weeks, how often does the following occur between you and"]
[null,"your former (Ex) partner/spouse? Please answer as best as you can, selecting your "]
[null,"response for each question"]
[null,"With those times in mind, please indicate how often your spouse/partner acted in the "]
[null,"following ways towards you. During the past 4 weeks, how often did your "]
[null,"spouse/partner…"]
[]
[null,"1. When you & your former partner/spouse discuss parenting issues, how often does it "]
[null,"lead to an argument?"]
[null,{"$f":"Questionnaire!M224","v":"Must Complete"}]
[]
[null,"2. How often is the atmosphere one of hostility and anger?"]
[null,{"$f":"Questionnaire!$M$230","v":"Must Complete"}]
[]
[null,"3. How often are your conversations stressful and tense?"]
[null,{"$f":"Questionnaire!$M$236","v":"Must Complete"}]
[]
[null,"4. Do you and your former partner/spouse have basic differences of opinion"]
[null," about issues related to raising your child / parenting? "]
[null,{"$f":"Questionnaire!$M$243","v":"Must Complete"}]
[]
[null,"5. When you need help regarding the children, do you ask for it from your former partner/spouse?"]
[null,{"$f":"Questionnaire!$M$250","v":"Must Complete"}]
[]
[null,"6. Is your former partner/spouse helpful to you in raising your child / children?"]
[null,{"$f":"Questionnaire!$M$256","v":"Must Complete"}]
[]
[null,"7. Would you say that you are helpful to your former partner/spouse in raising your children?"]
[null,{"$f":"Questionnaire!$M$262","v":"Must Complete"}]
[]
[null,"8. If your former partner/spouse needs to make a change to visiting arrangements, do "]
[null,"you make a real effort to accommodate (make this work)?"]
[null,{"$f":"Questionnaire!$M$269","v":"Must Complete"}]
[]
[null,"9. Does your former partner/spouse make a real effort to accommodate any changes "]
[null,"you need to make to visiting arrangements?"]
[null,{"$f":"Questionnaire!$M$276","v":"Must Complete"}]
[]
[null,"10. Do you feel that your former partner/spouse understands and is supportive of your "]
[null,"needs as a parent (whether your children live with you or not)?"]
[null,{"$f":"Questionnaire!$M$283","v":"Must Complete"}]
[]
[]
[null,"Section 2:  Conflict between parents"]
[]
[null,"Think back over the last 4 weeks and tell us how well you and your former"]
[null,"spouse /partner about have related in the following ways:"]
[]
[null,"1. How well do you share responsibility for raising your child / children?"]
[null,{"$f":"Questionnaire!$M$295","v":"Must Complete"}]
[]
[null,"2. How well do you communicate about your child / children?"]
[null,{"$f":"Questionnaire!$M$301","v":"Must Complete"}]
[]
[null,"3. How often do you agree when making decisions about your child / children?"]
[null,{"$f":"Questionnaire!$M$307","v":"Must Complete"}]
[]
[null,"How satisfied are you with:"]
[]
[null,"4. The amount of time your child / children spend with their other parent"]
[null,{"$f":"Questionnaire!$M$315","v":"Must Complete"}]
[]
[null,"5. How your child / children spend this time with the other parent."]
[null,{"$f":"Questionnaire!$M$321","v":"Must Complete"}]
[]
[null,"6. Arrangements for child custody (who your child lives with)."]
[null,{"$f":"Questionnaire!$M$327","v":"Must Complete"}]
[]
[null,"7. Arrangements for visitation (with the other parent and relatives)."]
[null,{"$f":"Questionnaire!M333","v":"Must Complete"}]
[]
[null,"8. Arrangements for child support (financial)."]
[null,{"$f":"Questionnaire!M339","v":"Must Complete"}]
[]
[null,"We would now like to ask how frequently you and your former spouse/partner argue "]
[null,"about each of the following nine topics:"]
[]
[null,"9. Children"]
[null,{"$f":"Questionnaire!M348","v":"Must Complete"}]
[]
[null,"10. Money"]
[null,{"$f":"Questionnaire!M355","v":"Must Complete"}]
[]
[null,"11. Chores and responsibilities"]
[null,{"$f":"Questionnaire!M362","v":"Must Complete"}]
[]
[null,"12. Showing affection (towards each other)"]
[null,{"$f":"Questionnaire!M369","v":"Must Complete"}]
[]
[null,"13. Religion"]
[null,{"$f":"Questionnaire!M376","v":"Must Complete"}]
[]
[null,"14. Leisure time"]
[null,{"$f":"Questionnaire!M383","v":"Must Complete"}]
[]
[null,"15. Drinking"]
[null,{"$f":"Questionnaire!M390","v":"Must Complete"}]
[]
[null,"16. New partners"]
[null,{"$f":"Questionnaire!M397","v":"Must Complete"}]
[]
[null,"17. Relatives"]
[null,{"$f":"Questionnaire!M404","v":"Must Complete"}]
[]
[null,null,null,null,null,"END OF QUESTIONS"]
[]
[]
[]
[]
[]
[]
[null,"For use by staff member"]
[]
[null,"Your Name :",null,{"$f":"Questionnaire!M464","v":"Must Complete"}]
[]
[null,"Job Title :",null,{"$f":"Questionnaire!M466","v":"Must Complete"}]
[]
[null,"Team :",null,{"$f":"Questionnaire!M468","v":"Must Complete"}]
[]
[null,"Service :",null,{"$f":"Questionnaire!M470","v":"Must Complete"}]
[]
[null,"Organisation",null,{"$f":"Questionnaire!M472","v":"Must Complete"}]
[]
[null,"Email :",null,{"$f":"Questionnaire!M474","v":"Must Complete"}]
[]
[null,"Phone Number :",null,{"$f":"Questionnaire!M476","v":"Must Complete"}]
[]
[null,"Date Completed :",null,{"$f":"Questionnaire!M478","v":"Must Complete"}]
[]
[null,"Local Authority :",null,{"$f":"Questionnaire!M480","v":"Must Complete"}]
[]
[]
[null,"If you have received any of the following training to deliver this programme "]
[null,"please supply date completed"]
[]
[null,"Process Training  / Awareness Overview",null,null,null,null,null,null,null,{"$f":"Questionnaire!M488","v":"Please complete"}]
[null,"Practitioner Training supplied by DWP/ Knowledgepool (Online)",null,null,null,null,null,null,null,{"$f":"Questionnaire!M492","v":"Please complete"}]
[null,"Practitioner Training supplied by DWP/ Knowledgepool (Classroom Based)",null,null,null,null,null,null,null,{"$f":"Questionnaire!M495","v":"Please complete"}]
[null,"Other",{"$f":"Questionnaire!M498","v":"Other Training not specified"},null,null,null,null,null,null,{"$f":"Questionnaire!M501","v":"Please complete"}]
[]
[]
[null,"Are the family already being supported by any of the following? "]
[]
[null,"No support",null,null,null,null,null,null,null,{"$f":"Questionnaire!M508","v":"Must Complete"}]
[null,"Children's Social Care"]
[null,"Early Help"]
[null,"Other (Please specify below)"]
[null,{"$f":"Questionnaire!M509","v":"No Other Support Specified"}]

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[]
[null,"Level Of Support Required:",null,null,{"$f":"CPA!N6","v":"Participation Statement not Completed DO NOT FORWARD"}]
[null,"Workless Household",null,null,{"$f":"CPA!M6","v":"Not Completed"}]
[]
[null,"Reducing Parental Conflict Programme"]
[null,"Referral Stage Questionnaire "]
[null,"For parents who are  no longer in a relationship together/separated"]
[]
[]
[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 - I have told the person who gave me this questionnaire about anything that might"]
[null,"make it difficult for me to take part (including any needs for interpreters etc.)"]
[]
[null,"Please give details"]
[null,{"$f":"IF(Questionnaire!B27>0, Questionnaire!B27, \"INCOMPLETE\")","v":"INCOMPLETE"}]
[]
[]
[null,"Participation Agreement :",null,null,{"$f":"Questionnaire!M31","v":"Must Complete"}]
[null,"questionnaire"]
[]
[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":"IF(CPA!I9>0, CPA!I9,\"INCOMPLETE\")","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,{"$f":"Questionnaire!M60","v":"No email address supplied"}]
[]
[null,"How many children do you have primary or shared care responsibility for?"]
[null,{"$f":"Questionnaire!M136","v":"Must Complete"}]
[]
[null,"Are you or your partner pregnant now?"]
[null,{"$f":"Questionnaire!M147","v":"Must Complete"}]
[]
[null,"Which of these best describes your current employment status?"]
[null,"Please note: if you are on parental leave, you should tick the box of the category you"]
[null,"were in prior to this leave."]
[null,{"$f":"Questionnaire!M165","v":"Must Complete"}]
[]
[null,"Are you presently or have you ever experienced mental health problems? "]
[null,{"$f":"Questionnaire!M176","v":"Must Complete"}]
[]
[null,"What is your relationship with the person you are currently experiencing"]
[null,"conflict with? "]
[null,{"$f":"Questionnaire!M188","v":"Must Complete"}]
[]
[null,"Their name",null,{"$f":"Questionnaire!M195","v":"Co-Parent details not supplied"}]
[]
[null,"Their UIN",null,{"$f":"IF(CPA!I12>0, CPA!I12,\"INCOMPLETE\")","v":"JY"}]
[]
[]
[null,"PART 2"]
[null,"Questionnaire for parents who are no longer in a"]
[null,"relationship together / separated"]
[]
[null,"Important: Please only answer these questions if you are no longer  in a "]
[null,"relationship together / have separated from with the parent with whom "]
[null,"you are experiencing conflict. "]
[]
[null,"If you are still in a relationship with the other parent then please ask"]
[null,"the member of staff to give you the appropriate questionnaire. "]
[]
[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:  Interacting with each other"]
[]
[null,"Considering the last 4 weeks, how often does the following occur between you and"]
[null,"your former (Ex) partner/spouse? Please answer as best as you can, selecting your "]
[null,"response for each question"]
[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. When you & your former partner/spouse discuss parenting issues, how often does it "]
[null,"lead to an argument?"]
[null,{"$f":"Questionnaire!M224","v":"Must Complete"}]
[]
[null,"2. How often is the atmosphere one of hostility and anger?"]
[null,{"$f":"Questionnaire!$M$230","v":"Must Complete"}]
[]
[null,"3. How often are your conversations stressful and tense?"]
[null,{"$f":"Questionnaire!$M$236","v":"Must Complete"}]
[]
[null,"4. Do you and your former partner/spouse have basic differences of opinion"]
[null," about issues related to raising your child / parenting? "]
[null,{"$f":"Questionnaire!$M$243","v":"Must Complete"}]
[]
[null,"5. When you need help regarding the children, do you ask for it from your former partner/spouse?"]
[null,{"$f":"Questionnaire!$M$250","v":"Must Complete"}]
[]
[null,"6. Is your former partner/spouse helpful to you in raising your child / children?"]
[null,{"$f":"Questionnaire!$M$256","v":"Must Complete"}]
[]
[null,"7. Would you say that you are helpful to your former partner/spouse in raising your children?"]
[null,{"$f":"Questionnaire!$M$262","v":"Must Complete"}]
[]
[null,"8. If your former partner/spouse needs to make a change to visiting arrangements, do "]
[null,"you make a real effort to accommodate (make this work)?"]
[null,{"$f":"Questionnaire!$M$269","v":"Must Complete"}]
[]
[null,"9. Does your former partner/spouse make a real effort to accommodate any changes "]
[null,"you need to make to visiting arrangements?"]
[null,{"$f":"Questionnaire!$M$276","v":"Must Complete"}]
[]
[null,"10. Do you feel that your former partner/spouse understands and is supportive of your "]
[null,"needs as a parent (whether your children live with you or not)?"]
[null,{"$f":"Questionnaire!$M$283","v":"Must Complete"}]
[]
[]
[null,"Section 2:  Conflict between parents"]
[]
[null,"Think back over the last 4 weeks and tell us how well you and your former"]
[null,"spouse /partner about have related in the following ways:"]
[]
[null,"1. How well do you share responsibility for raising your child / children?"]
[null,{"$f":"Questionnaire!$M$295","v":"Must Complete"}]
[]
[null,"2. How well do you communicate about your child / children?"]
[null,{"$f":"Questionnaire!$M$301","v":"Must Complete"}]
[]
[null,"3. How often do you agree when making decisions about your child / children?"]
[null,{"$f":"Questionnaire!$M$307","v":"Must Complete"}]
[]
[null,"How satisfied are you with:"]
[]
[null,"4. The amount of time your child / children spend with their other parent"]
[null,{"$f":"Questionnaire!$M$315","v":"Must Complete"}]
[]
[null,"5. How your child / children spend this time with the other parent."]
[null,{"$f":"Questionnaire!$M$321","v":"Must Complete"}]
[]
[null,"6. Arrangements for child custody (who your child lives with)."]
[null,{"$f":"Questionnaire!$M$327","v":"Must Complete"}]
[]
[null,"7. Arrangements for visitation (with the other parent and relatives)."]
[null,{"$f":"Questionnaire!M333","v":"Must Complete"}]
[]
[null,"8. Arrangements for child support (financial)."]
[null,{"$f":"Questionnaire!M339","v":"Must Complete"}]
[]
[null,"We would now like to ask how frequently you and your former spouse/partner argue "]
[null,"about each of the following nine topics:"]
[]
[null,"9. Children"]
[null,{"$f":"Questionnaire!M348","v":"Must Complete"}]
[]
[null,"10. Money"]
[null,{"$f":"Questionnaire!M355","v":"Must Complete"}]
[]
[null,"11. Chores and responsibilities"]
[null,{"$f":"Questionnaire!M362","v":"Must Complete"}]
[]
[null,"12. Showing affection (towards each other)"]
[null,{"$f":"Questionnaire!M369","v":"Must Complete"}]
[]
[null,"13. Religion"]
[null,{"$f":"Questionnaire!M376","v":"Must Complete"}]
[]
[null,"14. Leisure time"]
[null,{"$f":"Questionnaire!M383","v":"Must Complete"}]
[]
[null,"15. Drinking"]
[null,{"$f":"Questionnaire!M390","v":"Must Complete"}]
[]
[null,"16. New partners"]
[null,{"$f":"Questionnaire!M397","v":"Must Complete"}]
[]
[null,"17. Relatives"]
[null,{"$f":"Questionnaire!M404","v":"Must Complete"}]
[]
[null,null,null,null,null,"END OF QUESTIONS"]
[]
[]
[]
[]
[]
[null,"For use by staff member"]
[]
[null,"Your Name :",null,{"$f":"Questionnaire!M464","v":"Must Complete"}]
[]
[null,"Local Authority :",null,{"$f":"Questionnaire!M480","v":"Must Complete"}]
[]
[null,"Phone Number :",null,{"$f":"Questionnaire!M476","v":"Must Complete"}]
[]
[null,"Date Completed :",null,{"$f":"Questionnaire!M478","v":"Must Complete"}]
[]
[null,"Additional Information / Risk Assessment Details"]
[null,"Please give details"]
[null,{"$f":"Questionnaire!M513","v":"Additional Information not entered"}]

{"sheet":"Scoring","index":5,"n_rows":50,"n_cols":8,"rows_kept":50,"cut":false,"hidden":true,"merged":[]}
["Scoring "]
[]
["Discuss & Share",null,"From Questionnaire","Numeric Value",null,"Conflict Level"]
["CONFLICT",1,{"$f":"Questionnaire!M224","v":"Must Complete"},{"$f":"IF(C4<>\"Must Complete\", C4, 0)","v":0},null,{"$f":"IF(D8>=8,\"None/Low\",IF(D8>=5,\"Moderate\",IF(D8<=4,\"High\",\"Error\")))","v":"High"},{"$f":"IF(F4=\"High\", 3, IF(F4=\"Moderate\", 2, IF(F4=\"None/Low\", 1, 0)))","v":3}]
[null,2,{"$f":"Questionnaire!M230","v":"Must Complete"},{"$f":"IF(C5<>\"Must Complete\", C5, 0)","v":0}]
[null,3,{"$f":"Questionnaire!M236","v":"Must Complete"},0]
[null,4,{"$f":"Questionnaire!M243","v":"Must Complete"},0]
[null,null,"Total",{"$f":"SUM(D4:D7)","v":0}]
[]
["SUPPORT",5,{"$f":"Questionnaire!M250","v":"Must Complete"},{"$f":"IF(C10<>\"Must Complete\", C10, 0)","v":0},null,{"$f":"IF(D16<=6,\"High\",IF(D16=7,\"Moderate\",IF(D16>=8,\"None/Low\",\"Error\")))","v":"High"},{"$f":"IF(F10=\"High\", 3, IF(F10=\"Moderate\", 2, IF(F10=\"None/Low\", 1, 0)))","v":3}]
[null,6,{"$f":"Questionnaire!M256","v":"Must Complete"},{"$f":"IF(C11<>\"Must Complete\", C11, 0)","v":0}]
[null,7,{"$f":"Questionnaire!M262","v":"Must Complete"},0]
[null,8,{"$f":"Questionnaire!M269","v":"Must Complete"},0]
[null,9,{"$f":"Questionnaire!M276","v":"Must Complete"},0]
[null,10,{"$f":"Questionnaire!M283","v":"Must Complete"},0]
[null,null,"Total",{"$f":"SUM(D10:D15)","v":0}]
[]
["Conflict between parents"]
["COMMUNICATION"]
[null,1,{"$f":"Questionnaire!M295","v":"Must Complete"},{"$f":"IF(C20<>\"Must Complete\", C20, 0)","v":0},null,{"$f":"IF(D23<=4,\"High\",IF(D23<=7,\"Moderate\",IF(D23>=8,\"None/Low\",\"Error\")))","v":"High"},{"$f":"IF(F20=\"High\", 3, IF(F20=\"Moderate\", 2, IF(F20=\"None/Low\", 1, 0)))","v":3}]
[null,2,{"$f":"Questionnaire!M301","v":"Must Complete"},{"$f":"IF(C21<>\"Must Complete\", C21, 0)","v":0}]
[null,3,{"$f":"Questionnaire!M307","v":"Must Complete"},0]
[null,null,"Total",{"$f":"SUM(D20:D22)","v":0}]
[]
[null,4,{"$f":"Questionnaire!M315","v":"Must Complete"},{"$f":"IF(C25<>\"Must Complete\", C25, 0)","v":0}]
["SATISFACTION",5,{"$f":"Questionnaire!M321","v":"Must Complete"},{"$f":"IF(C26<>\"Must Complete\", C26, 0)","v":0}]
[null,6,{"$f":"Questionnaire!M327","v":"Must Complete"},0]
[null,7,{"$f":"Questionnaire!M333","v":"Must Complete"},0]
[null,8,{"$f":"Questionnaire!M339","v":"Must Complete"},0,null,{"$f":"IF(D30<=8,\"High\",IF(D30<=12,\"Moderate\",IF(D30>=13,\"None/Low\",\"Error\")))","v":"High"},{"$f":"IF(F29=\"High\", 3, IF(F29=\"Moderate\", 2, IF(F29=\"None/Low\", 1, 0)))","v":3}]
[null,null,"Total",{"$f":"SUM(D25:D29)","v":0}]
[]
["Frequency & Breadth"]
[null,9,{"$f":"Questionnaire!M348","v":"Must Complete"},{"$f":"IF(C33<>\"Must Complete\", C33, 0)","v":0},"Often",{"$f":"COUNTIF(D33:D41, 3)","v":0}]
[null,10,{"$f":"Questionnaire!M355","v":"Must Complete"},{"$f":"IF(C34<>\"Must Complete\", C34, 0)","v":0},"Sometimes",{"$f":"COUNTIF(D33:D41, 2)","v":0}]
[null,11,{"$f":"Questionnaire!M362","v":"Must Complete"},0,"Total",{"$f":"SUM(F33:F34)","v":0}]
[null,12,{"$f":"Questionnaire!M369","v":"Must Complete"},0]
[null,13,{"$f":"Questionnaire!M376","v":"Must Complete"},0,null,{"$f":"IF(F35>=7,\"High\",IF(F35>=5,\"Moderate\",IF(F35<=4,\"None/Low\",\"Error\")))","v":"None/Low"},{"$f":"IF(F37=\"High\", 3, IF(F37=\"Moderate\", 2, IF(F37=\"None/Low\", 1, 0)))","v":1},"BREADTH"]
[null,14,{"$f":"Questionnaire!M383","v":"Must Complete"},0]
[null,15,{"$f":"Questionnaire!M390","v":"Must Complete"},0]
[null,16,{"$f":"Questionnaire!M397","v":"Must Complete"},0,null,{"$f":"IF(D42>=18,\"High\",IF(D42>=13,\"Moderate\",IF(D42<=12,\"None/Low\",\"Error\")))","v":"None/Low"},{"$f":"IF(F40=\"High\", 3, IF(F40=\"Moderate\", 2, IF(F40=\"None/Low\", 1, 0)))","v":1},"FREQ"]
[null,17,{"$f":"Questionnaire!M404","v":"Must Complete"},0]
[null,null,"Total",{"$f":"SUM(D33:D41)","v":0}]
["Scores"]
[null,"D&S Conflict",{"$f":"G4","v":3}]
[null,"D&S Support",{"$f":"G10","v":3}]
[null,"CBP Communication",{"$f":"G20","v":3}]
[null,"CBP Satisfaction",{"$f":"G29","v":3}]
[null,"Frequency",{"$f":"G40","v":1}]
[null,"Breadth",{"$f":"G37","v":1}]
[null,"Highest Score",{"$f":"MAX(C44:C49)","v":3},null,"Amalgamated Score",{"$f":"MAX(C44:C49)","v":3},"Level of Conflict",{"$f":"IF(F50=3, \"High Intensity Support\", IF(F50=2, \"Moderate Intensity Support\", \"Other Support / None RPCP\"))","v":"High Intensity Support"}]