2021 CLS Short Assessment

Casey Life Skills|Short Assessment

The Casey Life Skills (CLS) is a multiple-choice questionnaire that measures independent living skills in several functional areas for young people. The CLS short form is a comprehensive 20 question assessment for youth ages 14-21 years. This assessment can be completed by youth and their supportive adults (e.g. caregivers, service providers, case workers, etc to understand the youth's skills. It is appropriate for brief screenings, research purposes or when there are serious time limitations.

The Casey Life Skills Toolkit, which includes the full suite of CLS Assessments, Practitioners Guide and Resources to Inspire Guide, is hosted at:

www.casey.org/casey-life-skills/

Casey Family Programs owns all rights, titles, and interests, including copyrights and other intellectual property rights in and to this assessment. Your use of this assessment is subject to the CLS Licensing Agreement. As detailed in the Agreement, you may not, (i) use this assessment for any commercial purpose, (ii) modify it, or (iii) transfer or sublicense it for any purpose other than administering the assessment to youth and their families.
Date mmddyy*

MonthDayYear
Date
Name*
Birthdate mmddyyyy*

MonthDayYear
Date
FemaleMaleTransgender MaleTransgender MaleTwo-SpiritNon-binaryOther
GayLesbianQueerBisexualAsexualQuestioningPansexualHeterosexual/StraightPrefer not to sayOther
She, Her, HersHe, Him, HisZe, HirThey, Them, TheirsOther
African American/BlackAmerican Indian/ Alaska NativeAsian IndianBiracialChineseFilipinoGuamanian or ChamorroJapaneseKoreanMultiracialNative HawaiianOther AsianOther Pacific IslanderSamoanVietnameseWhiteOther
No, Not Hispanic, LatinxYes, Mexican, MexicanAmerican, ChicanoYes, Puerto RicanYes, CubanYes, SalvadoranYes, DominicanYes, GuatemalanYes, ColombiansYes, HonduranYes, EcuadorianYes, PeruvianYes, Other Hispanic Latino
ChristianJewishMuslimBuddhistHinduBaha’iAtheistAgnosticNo religious/ Spiritual affiliationOther
EnglishSpanishFrenchChineseJapaneseRussianSign LanguageOther
EnglishSpanishFrenchChineseJapaneseRussianSign LanguageOther
YesNoPrefer not to say

Are the following statements like me?*

Rows	Yes	Mostly Yes	Somewhat	Mostly No	No
I know how to access information onthe internet safely
I understand why It is important to readand understand the food labels to seecalories, serving size, fat, sugar, and saltfor healthy eating.
I know how to use a washer, dryer, anddetergent to clean my clothes
I know how to positively manage my mental health when I am having adifficult day.
I know where to get reliable information about safe sex and pregnancy.
I know how to be respectful of people with different beliefs, opinions,and cultures.
I know how to identify if my relationships show signs of any emotional, physical, and mental abuse.
I understand how to use online bankingto keep track of my money.
I plan for bills and other expenses that I must pay for regularly (e.g., car and/or health insurance, cell phone, eating out, rent, video games).
I know how to safely use publictransportation (or rideshare servicessuch as Uber/Lyft) to get to where I need to go

Are the following statements also like me?*

Rows	Yes	Mostly Yes	Somewhat	Mostly No	No
I know who to ask to get documents I need for work (e.g., social securitycard, birth certificate, state ID, or work permit).
I know how to use a planner, calendar,or phone to plan and keep track ofimportant dates and assignments
I know how to use reliable onlineplatforms to find information about jobtraining opportunities
I know where to find advice about how tochoose an education program.
I know how to share my views on news and politics responsibly.
I know how to research information to improve my own understanding of a topic.
I know my permanency goal (e.g.,adoption, guardianship, independence,and return to home).
I understand if I am eligible for extended foster care in my state after I am 18 years old.
I believe I have a support system that will help me succeed.
Most days, I feel proud of the way I amleading my life.

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Casey Life Skills|Short Assessment