Page 7 - Parenting Assessments

#5 – Disciplining 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:

 Describe the difference between discipline  Identify how my feelings and reactions to
and punishment. discipline and punishment impact my child.
 Describe punishments that are natural  Identify positive ways to handle punishment.
consequences.  Identify ways to discipline successfully with
 Identify reasons kids act out. my ex.
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 Set appropriate rules and consequences for
my child based on age.

Skill Level Assessment
Directions: Circle the appropriate column to indicate what skill level the parent has reached.
Mastery (M)
Practicing (P)
Awareness (A)
“Expert at this skill”
“Practicing this skill”
“Trying this skill”
Skill List
From Pamphlet: For Evaluation Only Skill Level
Identify positive ways to discipline in common situations. A / P / M
Identify and reward good behavior in my children. A / P / M
Additional Content in Instructor’s Manual:
Identify current discipline issues with my child. A / P / M
Identify things I can control and not control related to discipline in my home. A / P / M
Develop personal household rules with appropriate consequences. 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 Disciplining Kids. The case manager and I have reviewed
all the above items that required discussion.

___________________________ ___________________________
Parent’s Signature Case Manager’s Signature

Disciplining Kids – P5 Parenting Pamphlet Series
®
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