Sibling Assessment Form Page 2

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Sibling Assessment Form
________________________________________________________________________________________________________
G
Openly shows affection
1 Often
2 Sometimes
3 Never
Examples of this behavior
_______________________________________________________________________________
_______________________________________________________________________________
H
Misses sib when apart
1 Often
2 Sometimes
3 Never
Examples of this behavior
________________________________________________________________________________
________________________________________________________________________________
I
Resolves conflict through age-appropriate reasoning
1 Often
2 Sometimes
3 Never
Examples of this behavior
_______________________________________________________________________________
_______________________________________________________________________________
J
Annoys, irritates or teases
1 Often
2 Sometimes
3 Never
Examples of this behavior
_______________________________________________________________________________
_______________________________________________________________________________
K
Shows hostility or aggression
1 Often
2 Sometimes
3 Never
Examples of this behavior
_______________________________________________________________________________
_______________________________________________________________________________
L
Blames or attempts to get sib into trouble
1 Often
2 Sometimes
3 Never
Examples of this behavior
_______________________________________________________________________________
_______________________________________________________________________________
M
Behavior sabotages efforts to meet other sib’s needs
1 Often
2 Sometimes
3 Never
Examples of this behavior
________________________________________________________________________________
________________________________________________________________________________
PSU-CWP-Salem/share drive/office

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