Page 5 - Parenting Assessments

#3 – Being a Good Parent – 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 how I serve as a role model for my  Identify specific things fathers and mothers
child. can each give their children to be supportive.
 Identify my own parenting style.  List ways to handle conflicts between
 Identify ways to support my child parenting styles with a spouse, partner, ex, or
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emotionally, mentally, and spiritually.  Identify the key elements to controlling
others who impact my child.
anger.
For Evaluation Only

Skill Level Assessment
Directions: Circle the appropriate column to indicate what skill level the parent has reached.
Mastery (M)
Awareness (A)
Practicing (P)
“Practicing this skill”
“Expert at this skill”
“Trying this skill”
From Pamphlet: Skill List Skill Level
Identify negative comments from my own childhood that have impacted my A / P / M
parenting.
List things I can say or do to be more supportive of my child. A / P / M
Send a supportive note to school with my child. A / P / M
Additional Content in Instructor’s Manual:
Identify the parenting styles of other people who impact my child, and list ways A / P / M
to resolve conflicts between them.
Identify ways I can personally control my anger. A / P / M
Identifying my current level of anger management. A / P / M
Develop action points for controlling my 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 Being a Good Parent. The case manager and I have
reviewed all the above items that required discussion.

___________________________ ___________________________
Parent’s Signature Case Manager’s Signature

Being a Good Parent– P3 Parenting Pamphlet Series
®
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