Page 11 - Parenting Assessments
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#9 – Keeping Kids Healthy – ASSESSMENT

                      Parent’s Name: _______________________                Today’s Date:
                      Case Manager: _______________________                 _________________



               Assessment Checklist
                   Check the box for each of the following knowledge, skills, and/or abilities (KSAs) the parent has
                   successfully demonstrated.

                From Pamphlet:                                 Additional Content in Instructor’s Manual:

                 Explain why kids should stay active.          Compare the benefits of eating healthy to the
                 Identify basic ways to eat healthier foods.      impact of bad eating habits.
                 Describe situations where your child needs    Explain the importance of protein,
                    medical care.                                  carbohydrates, and fat in our diet.
                 Explain why children need to have routine     Identify the nutritional needs of children at
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                    checkups each year.                            different ages.
                 Describe the amount of sleep children         List common medical issues for children at
                    need at each age.                              certain ages.
                 Describe the contents of a basic first aid    Determine where to go for medical care
                                           For Evaluation Only
                                                                   based on the problem.
                    kit.                                        Describe ways to impact your child’s health
                                                                   when you are not the primary caregiver.
                                                                Describe how forgiving someone is a healthy

               Skill Level Assessment                              step in releasing anger.
                   Directions: Circle the appropriate column to indicate what skill level the parent has reached.
                                 Awareness (A)
                                                                              Mastery (M)
                                                       Practicing (P)
                                “Trying this skill”
                                                                           “Expert at this skill”
                                                    “Practicing this skill”
                                                  Skill List                                    Skill Level
               From Pamphlet:
               Describe what to do when my child is sick.                                        A / P / M
               Put together a basic first aid kit.                                               A / P / M
               Read nutrition labels with your child.                                            A / P / M
                Additional Content in Instructor’s Manual:
               Identify your child’s current health.                                             A / P / M
               Identify things I can control and not control related to my child’s health        A / P / M
               Identify the benefits of forgiving someone as a way to release anger.             A / P / M
               Write a personal parenting rule related to the topic in this pamphlet.            A / P / M
               Set and accomplish a parenting goal for this pamphlet.                            A / P / M


               I, _________________________ have completed all necessary reading and exercises related
               to the Parenting Series pamphlet Keeping Kids Healthy. The case manager and I have
               reviewed all the above items that required discussion.



               ___________________________                           ___________________________
                           Parent’s Signature                                    Case Manager’s Signature


               Keeping  Kids  Healthy–    P9                                             Parenting Pamphlet Series
                               ®
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