Q01
메시지
모든 템플릿
Child Behavior Patterns and Parent Concern Survey
Captures how often common childhood behaviors (tantrums, defiance, anxiety, focus struggles, sleep issues) show up at home, school, and in public, and which ones worry parents most. An AI follow-up interview digs into the history and triggers behind the single behavior causing the most concern, going beyond a checkbox rating. Built for pediatric practices, school counselors, and parenting researchers.
샘플 질문
템플릿에 포함된 내용을 미리 확인해 보세요. 모든 질문은 설문 공개 전에 자유롭게 수정할 수 있습니다.
질문 13개 · 약 7분
Q02
객관식필수
What is your child's current age range?
- 2-4 years
- 5-7 years
- 8-10 years
- 11-13 years
- 14-17 years
Q03
매트릭스필수
In the last 30 days, how often has your child shown each of these behaviors?
7개 행 × 5개 열
- Tantrums or meltdowns
- Defiance or refusal to follow instructions
- Aggression toward others (hitting, biting, pushing)
- Anxiety or excessive worry
- Difficulty focusing or sitting still
- 외 2개
열: Never · Rarely (a few times a month) · Sometimes (weekly) · Often (several times a week) · Very often (daily)
Q04
의견 척도필수
Overall, how manageable would you say your child's behavior has been recently?
척도: 1 – 7
최소:Completely unmanageable최대:Very manageable
Q05
최선·최악 선택형(MaxDiff)필수
From the behaviors below, which is most concerning to you right now, and which concerns you least?
- Tantrums or meltdowns
- Defiance or refusal to follow instructions
- Aggression toward others
- Anxiety or excessive worry
- Difficulty focusing or sitting still
- Sleep problems
- Screen time conflicts
세트별 최선·최악 선택최선:Most concerning최악:Least concerning
Q06
객관식
In which settings does the behavior you're most concerned about tend to happen?
- Home
- School or daycare
- Public places (stores, restaurants)
- With peers or friends
- During transitions (bedtime, leaving somewhere)
Q07
객관식
Which of these have you tried to address it?
- Time-outs or consequences
- Reward charts or incentives
- Calmly talking it through
- Ignoring the behavior
- Consulted a pediatrician or counselor
- Haven't tried anything specific yet
Q08
의견 척도필수
How confident do you feel in your ability to manage this behavior when it happens?
척도: 1 – 5
최소:Not at all confident최대:Extremely confident
Q09
AI 인터뷰
Focus on the single behavior the respondent flagged as most concerning in the trade-off question. Ask when it first started or noticeably worsened, what tends to trigger it, and how it's changed over the last few months. Probe what they've already tried and whether it helped, made no difference, or backfired. If they mention a specific incident, ask them to walk through exactly what happened right before, during, and after it.
Q10
장문형
Is there anything else about your child's behavior you'd like us to know that the questions above didn't cover?
Q11
객관식
What is your relationship to the child?
- Parent or guardian
- Grandparent
- Other primary caregiver
- Prefer not to say
Q12
객관식
Child's gender (optional, for grouping responses only)
- Boy
- Girl
- Non-binary / other
- Prefer not to say
Q13
메시지
Thank you for sharing these observations. Your responses help us understand common behavior patterns and build better support and follow-up conversations for families like yours.
포함된 기능
AI 후속 질문
정형화된 설문이 놓치는 세부 내용을, 주관식 답변에 맞춰 AI가 심층 질문으로 끌어냅니다.
주의력 확인 장치
성의 없는 답변과 저품질 응답자를 걸러내는 내장 안전장치입니다.
AI가 작성한 문안
문구, 질문 순서, 분기 로직까지 AI가 연구 목표에 맞춰 작성합니다.
자동 리포트
응답이 모이면 주요 주제, 인용문, 이해하기 쉬운 요약이 자동으로 작성됩니다.
다른 서비스와 비교
다른 설문 도구의 가장 유사한 템플릿을 검토했습니다. 그 도구들이 잘하는 점과, 이 템플릿이 한발 더 나아가는 지점을 정리했습니다.
이 템플릿을 선택하는 이유
- A matrix question tracks how often tantrums, defiance, anxiety, focus struggles, and sleep issues show up at home, school, and in public — not just a single overall rating.
- A max-diff question pinpoints the single behavior causing the most concern, then an AI follow-up interview digs into its history and triggers, going beyond a checkbox or scale.
- Opinion scales on manageability and confidence, plus multiple-choice on settings and prior attempts to address it, add context before the AI interview narrows in.
- Built with pediatric practices, school counselors, and parenting researchers in mind, with an auto-generated report — on a platform with a free tier and $50/mo Business plan (no academic pricing tier).
SurveyMonkey
Behavior Surveys For Kids & ChildrenA fielding-ready template covering common childhood behavior questions, built on SurveyMonkey's mainstream survey platform. It's suited to general behavior tracking but relies on fixed question sets rather than any conversational follow-up. Best for teams that already use SurveyMonkey's broader survey and reporting tools.
잘하는 점
- Quick to deploy using a large, well-known survey platform
- Simple customization of question wording and answer choices
- Built-in basic analytics and reporting dashboards
아쉬운 점
- No adaptive AI follow-up to probe the history or triggers behind a specific concerning behavior
- No voice AI interview option
- No automated per-response quality scoring or transparent prompt methodology
Jotform
Child Concerns Report Form TemplateA ready-to-use form for documenting concerns about a child, built on Jotform's drag-and-drop form builder. It's designed for structured intake/reporting rather than an in-depth conversation about why a behavior is happening. Useful for capturing a written summary of concerns, but branching is limited to static conditional logic.
잘하는 점
- Easy to customize fields and layout without coding
- Supports conditional logic to show/hide fields based on answers
- Integrates with Jotform's wider form and workflow ecosystem
아쉬운 점
- No adaptive AI interview to dig deeper into the most concerning behavior's history or triggers
- No voice AI interview capability
- No automated quality scoring of responses or auto-generated analysis report
설문을 공개할 준비가 되셨나요?
이 템플릿을 편집기에서 열어 보세요. 첫 응답자가 보기 전에 모든 부분을 원하는 대로 바꿀 수 있습니다.