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For question #1 , read the statement and answer the question as accurately as possible.

1. The news reported this morning the case of a parent who killed their child.   Without hearing additional information, please describe what images you have regarding the story.   For example, characteristics of the parent , characteristics of the child, and circumstances surrounding the crime.

 

For question #2, fill in the blanks with a number that most accurately conveys your opinion or understanding of the question being asked.   NOTE : Both numbers need to add up to 100%.

When a father kills his child, it is intentional % of the time, and unintentional % of the time.

 

For questions #3 and #4 use the space allocated to briefly answer the question being asked.

3. Briefly describe the type and/or length of sentence you believe a father who is convicted of killing his child should receive.

 

4. Briefly describe how you feel when you hear of a crime involving a father who has killed his child.

 

For each possible cause of death listed below, please indicate the percentage of cases you believe fall in each category when the crime is committed by the specified parent.   NOTE: each row needs to add up to 100%.

 
5.
Strangled
6.
Drowned

7.
Shot

8.
Stabbed
9.
Abuse

10.
Neglect
11.
Shaking
12.
Poison
13.
Other
 Total
Mother
100%
Father
100%

 

For each of the following statements, please indicate your opinion.

14. Health workers and Mental Health Professionals need to be more proactive to recognize the signs of post-partum depression.

15. Mothers have more responsibility to care for their children than fathers.
16. Mothers are innately better caregivers than fathers.

 

For each of the following statements, please circle the number that most appropriately conveys how you feel when you hear of cases involving a father who has killed his child.

17.   I can understand the feeling of a father wanting to harm his child.

18.   I feel sad for the father.

19.   I feel pity for the father.

20. I understand there may be circumstances beyond a father's control which may lead him to kill his child.
21.   I feel anger towards the father

 

For each of the following statements, indicate how each factor would influence your perception of a father's blameworthiness when charged with killing his child.   Note: all statements are independent of each other.

Mental Health History, HE HAS:

 
22. a documented history of depression.
23. a document history of schizophrenia.
24. a documented history of paranoia.

Short-Term History, HE HAS RECENTLY EXPRESSED:

 
25. to his physician thoughts of suicide.
26. to his physician thoughts of harming his child.
27. minimal interest in caring for his child.

 

Regarding the crime, HE:

 
28. reports hearing voices shortly before killing his child.
29. attempted suicide immediately after killing his child.

30. had alcohol in his system.

31. had drugs in his system.

 

32. Are you a parent?      Yes        No

33. Please indicate your gender.      Male         Female

34. Please indicate your age:

35. Are you:

36. Annual household income:

37. Race:

African-American
Caucasian
Asian
Hispanic
Native American
Arabic
Other:

38. What is your ethnicity/heritage?

39. Highest Level of Education: