Page 6 - Parenting Assessments

#4 – Talking and Connecting 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 ways to build a stronger  Identify ways I can communicate better to
relationship with my child. improve my relationship with my child.
 Use good techniques to communicate with  Identify ways I can control my anger when
my kids. communicating with my child.
 Identify techniques for dealing with upset  Identify ways to stay connected to my child
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children. when I am not the primary caregiver.
 Identify specific ways to interact with my
kids at different ages.

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”
“Trying this skill”
“Expert at this skill”
Skill List
From Pamphlet: For Evaluation Only Skill Level
Identify positive ways to deal with challenging situations with my child. A / P / M
Demonstrate good techniques for communicating with my child. A / P / M
Create a new family tradition in my home. A / P / M
Additional Content in Instructor’s Manual:
Identify things I can control and not control related to communication in my A / P / M
home.
Develop a set of rules for how people communicate in my household. A / P / M
Demonstrate positive techniques to shut down angry responses to my child. 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 Talking and Connecting with Kids. The case manager and
I have reviewed all the above items that required discussion.

___________________________ ___________________________
Parent’s Signature Case Manager’s Signature

Talking and Connecting with Kids– P4 Parenting Pamphlet Series
®
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