Which, if any, of the following do you currently receive? (Check all that apply) Food StampsMedicaid (State Health Insurance)Earned Income Tax CreditTANFHead Start/Early Head Start ServicesNone of the above
Please tell us about the children living in your household.
In my family, we talk about problems.
When we argue, my family listens to "both sides of the story."
In my family, we take time to listen to each other.
My family pulls together when things are stressful
My family is able to solve our problems.
I praise my child when he/she behaves well.
When I discipline my child, I lose control.
I am happy being with my child.
My child and I are very close to each other.
I am able to soothe my child when he/she is upset.
I spend time with my child doing what he/she likes to do.
I have others who will listen when I need to talk about my problems.
When I am lonely, there are several people I can talk to.
I would have no idea where to turn if my family needed food
I wouldn’t know where to go for help if I had trouble making ends meet.
If there is a crisis, I have others I can talk to.
If I needed help finding a job, I wouldn’t know where to go for help.
There are many times when I don’t know what to do as a parent.
I know how to help my child learn.
My child misbehaves just to upset me.