"About My Child" Questionnaire

Pre- and Post-Test for Active Parenting Today Program

Select the child that you are most concerned about, and circle the number that most closely resembles your child's behavior. Keep in mind that there are no right or wrong answers.

Code: 1 – almost never; 2 – sometimes; 3 – not sure; 4 – often; 5 – almost always

1. My child demands too much attention from me. 1 2 3 4 5

2. My child follows my directions. 1 2 3 4 5

3. My child becomes upset if he/she makes a mistake. 1 2 3 4 5

4. My child is truthful. 1 2 3 4 5

5. My child quits or gives up on tasks before completion. 1 2 3 4 5

6. My child bosses others. 1 2 3 4 5

7. My child complains about things not being fair. 1 2 3 4 5

8. My child expresses anger in an appropriate manner. 1 2 3 4 5

9. My child shows respect for others. 1 2 3 4 5

10. My child expresses affection toward me. 1 2 3 4 5

11. My child cooperates with me. 1 2 3 4 5

12. My child is willing to try new things. 1 2 3 4 5

13. My child blames others for his/her own mistakes. 1 2 3 4 5

14. My child likes him/herself. 1 2 3 4 5

15. My child says hurtful things to me. 1 2 3 4 5

16. My child talks with me about concerns and asks questions. 1 2 3 4 5

17. My child spends a lot of time by him/herself. 1 2 3 4 5

18. My child encourages others. 1 2 3 4 5

19. My child enjoys spending time with me. 1 2 3 4 5

20. My child enjoys the whole family group. 1 2 3 4 5

Copyright 1995 by Michael H. Popkin and Fran Mullis. Active Parenting Publishers, Inc., Atlanta. All rights reserved.

Scoring Key for “About My Child” Questionnaire

Add the scores for the positive items:

2. _____

4. _____

8. _____

9. _____

10. _____

11. _____

12. _____

14. _____

16. _____

17. _____

18. _____

19. _____

20. _____

TOTAL POSITIVE ______

Next, total the score from the negative items:

1. _____

3. _____

5. _____

6. _____

7. _____

13. _____

15. _____

TOTAL NEGATIVE ______

Then subtract the negative score from the positive score:

TOTAL POSITIVE ________

TOTAL NEGATIVE ________

FINAL SCORE ________

The higher the final score, the more positive the child's behavior and attitude.