Family Assessment (24 Questions)
Please take a few minutes to complete this form. It is specifically designed to:
- Gain a snapshot of how your child’s behaviors are impacting the family
- Pinpoint current parenting skills that are working and areas you need to grow
- Highlight your strengths and motivations (you’ll use these for positive change)
Select a number on a scale of 1-to-5 to indicate whether you:
Strongly Disagree (1), Disagree (2), Neutral (3), Agree (4), or Strongly Agree (5).
If you have more than one child, select a rating that matches your most challenging one. If you’re stuck on how to answer, say aloud to yourself, “The majority of the time I __ “ for each statement.
Don’t worry about your responses being perfect – they tend to balance themselves out.