Page 3 - Parenting Assessments
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#1 – Life With Kids – 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:
                    Identify the key responsibilities of being a   Identify specific needs of children based
                       parent.                                       on their age.
                    Describe how to keep children safe.          Identify situations in life that the parent
               From Pamphlet: ©2022 Learnovation®, LLC
                    Identify “basic needs” every child should
                                                                     can control or not control.
                       receive.
                                                                  Identify the responsibilities of a non-
                                                                     custodial parent.
                    Describe self-esteem and emotional needs
                                                                  Describe the three parts of anger.
                       of children.
                                           For Evaluation Only
               Skill Level Assessment
                   Directions: Circle the appropriate column to indicate what skill level the parent has reached.
                                                                              Mastery (M)
                                                       Practicing (P)
                                 Awareness (A)
                                                    “Practicing this skill”
                                                                           “Expert at this skill”
                                “Trying this skill”
                                                  Skill List

                                                                                                 A / P / M
               List the key responsibilities of being a parent.                                 Skill Level
               Rank themselves on various aspects of parenting.                                  A / P / M
               Identify situations where they do well and where they need to improve their       A / P / M
               parenting skills.
               Watch an hour of TV with their child and accurately report and review their       A / P / M
               experience.
                Additional Content in Instructor’s Manual:
               List factors they can control and not control in their lives that impact parenting.   A / P / M
               Keep a daily anger log.                                                           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 Life With Kids. The case manager and I have reviewed all
               the above items that required discussion.

               ___________________________                           ___________________________
                           Parent’s Signature                                    Case Manager’s Signature
               Life With Kids–  P1                                                       Parenting Pamphlet Series
                               ®
               ©2022 Learnovation , LLC
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