Parent Behavior Checklist Template Page 4
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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
41. I spend at least one hour a day playing with or reading to
my child.
A
F
S
N
NA
42. I pick up my child's toys.
A
F
S
N
NA
43. I yell at my child for being too noisy at home.
A
F
S
N
NA
44. I expect to have to do most things for my child.
A
F
S
N
NA
45. I read to my child at least once a week.
A
F
S
N
NA
46. I scold my child for soiling in his/her pants.
A
F
S
N
NA
47. My child should be old eough to share toys.
A
F
S
N
NA
48. My child should be able to follow three-part directions ("pick
up your toys, wash your hands, and come to supper").
A
F
S
N
NA
49. I threaten to tell my spouse/partner about my child's bad
behavior.
A
F
S
N
NA
50. When I need help or advice about my child, I talk to my friends.
A
F
S
N
NA
51. My child should be able to solve problems he/she has with
other children.
A
F
S
N
NA
52. I tell my child that he/she is bad.
A
F
S
N
NA
53. My child should be able to draw a circle.
A
F
S
N
NA
54. My child should be able to play well with other children.
A
F
S
N
NA
55. I allow messy play (finger painting, play dough).
A
F
S
N
NA
56. My child should be able to say his/her first name when asked.
A
F
S
N
NA
57. My child should be able to use a spoon without making a mess.
A
F
S
N
NA
58. I scold my child for playing with his/her private parts.
A
F
S
N
NA
59. My cild should be able to understand what I tell him/her to do.
A
F
S
N
NA
60. I tell my child to behave so that my spouse/partner won't get
mad.
A
F
S
N
NA
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