Parent Behavior Checklist Template Page 2

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A-Almost Always/Always
F-Frequently
S-Sometimes
N-Almost Never/Never NA-Not Age Appropriate
1.
A
F
S
N
NA
I read to my child at bedtime.
2.
A
F
S
N
NA
My child should be able to use the toilet without help.
3.
A
F
S
N
NA
I spank my child at least once a week.
4.
A
F
S
N
NA
My child should be old enough to drink from a cup without help.
5.
A
F
S
N
NA
My child and I play together on the floor.
6.
If my child would hit, kick, bite, or scratch someone, I would
A
F
S
N
NA
spank him/her.
7.
A
F
S
N
NA
My child should know three colors.
8.
A
F
S
N
NA
My child should be able to feed him/herself.
9.
A
F
S
N
NA
If my child hit me in anger, I would hit or spank my child.
10.
I get books for my child (from the library or store) at least once
A
F
S
N
NA
a month.
11.
A
F
S
N
NA
My child takes naps.
12.
A
F
S
N
NA
When my child doesn't do what I tell him/her to do I spank him/her.
13.
A
F
S
N
NA
My child should be old enough to take a bath without being watched.
14.
A
F
S
N
NA
My child should be old enough to walk up stairs using a railing.
15.
A
F
S
N
NA
If my child is overactive, I involve him/her in quiet activities.
16.
A
F
S
N
NA
My child should be able to catch a bounced ball.
17.
A
F
S
N
NA
Before we go anywhere, I take my child to the bathroom.
18.
A
F
S
N
NA
I tell my child that his/her bad behavior will make God sad.
19.
A
F
S
N
NA
My child would just scribble if given a crayon and piece of paper.
20.
A
F
S
N
NA
I yell at my child for whining.

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