Parent Behavior Checklist Template Page 5
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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
61. I take walks with my child once a week.
A
F
S
N
NA
62. My child should be able to stay within the lines when
coloring.
A
F
S
N
NA
63. If my child cries after being put to bed, I yell at him/her.
A
F
S
N
NA
64. My child should have good table manners.
A
F
S
N
NA
65. I talk to or hold my child when he/she is scared.
A
F
S
N
NA
66. I yell at my child for spilling food.
A
F
S
N
NA
67. I expect my child to do what I say, right away.
A
F
S
N
NA
68. My child should be able to play alone for 30 minutes.
A
F
S
N
NA
69. I get so angry with my child I spank him/her on the bottom.
A
F
S
N
NA
70. I arrange activities for my child to play such as coloring,
painting or toy play.
A
F
S
N
NA
71. My child should be able to use a fork and spoon.
A
F
S
N
NA
72. I punish my child for wetting the bed.
A
F
S
N
NA
73. My child should be able to name at least one body part
(mouth, nose, etc.)
A
F
S
N
NA
74. My child should be able to draw a square.
A
F
S
N
NA
75. I praise my child for learning new things.
A
F
S
N
NA
76. My child is sent to his/her room for not obeying me.
A
F
S
N
NA
77. My child should know to stay away from hot things (oven, iron).
A
F
S
N
NA
78. I make my child stay at the table until all of his/her food is gone.
A
F
S
N
NA
79. My child should be old enough to understand the rules in simples
games (Candyland, Tag, Old Maid).
A
F
S
N
NA
80. I would spank my child for wetting his/her pants.
A
F
S
N
NA
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