Parent Behavior Checklist Template Page 3
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1
2
3
4
5
6
7A-Almost Always/Always
F-Frequently
S-Sometimes
N-Almost Never/Never NA-Not Age Appropriate
21. I play make believe with my child.
A
F
S
N
NA
22. My child should be old enough to walk down stairs.
A
F
S
N
NA
23. I tell my child he/she should be ashamed of him/herself for
soiled pants (bowel movement).
A
F
S
N
NA
24. My child should tell me if her/his diapers or pants are wet.
A
F
S
N
NA
25. I let my boy play with dolls or my girl play with trucks.
A
F
S
N
NA
26. If my child is overactive, I yell at him/her.
A
F
S
N
NA
27. My child should tell me when he/she has to go to the bathroom.
A
F
S
N
NA
28. My child should be able to understand taking turns during
games.
A
F
S
N
NA
29. If my child cries after being put to bed, I spank him/her.
A
F
S
N
NA
30. I plan surprises for my child (birthday parties, gifts).
A
F
S
N
NA
31. I send my child to a room or corner in the house as punishment.
A
F
S
N
NA
32. To toilet train my child, I make him/her sit on the toilet for over
15 minutes.
A
F
S
N
NA
33. My child should be able to ride a tricycle.
A
F
S
N
NA
34. My child should be quiet when I'm on the phone.
A
F
S
N
NA
35. I find it useful to talk to other parents about raising children.
A
F
S
N
NA
36. My child uses a bottle for drinking.
A
F
S
N
NA
37. My child should know that matches are dangerous.
A
F
S
N
NA
38. I spank my child for refusing to eat.
A
F
S
N
NA
39. My child should be quiet when I'm talking to another adult.
A
F
S
N
NA
40. I would spank my child in public for bad behavior.
A
F
S
N
NA
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