Measures and Forms for Researchers and Clinicians

For Well Baby Program

Well Baby Program Parent Satisfaction Questionnaire Monthly Well-Baby Parent Evaluation

For Baby and Toddler Programs

Baby Group Leader Collaborative Process Checklist Baby Parenting Strategies Survey Measure (Pretest) Baby Program Short Parent Satisfaction Questionnaire Baby Program Parent Satisfaction Questionnaire Baby Parent Final Satisfaction Questionnaire Editable Baby Program Parent Satisfaction Questionnaire (Spanish Version) Baby Program Parent Satisfaction Questionnaire (British Version) Toddler Program Parent Satisfaction Questionnaire Toddler Program Parent Satisfaction Questionnaire (British Version) Toddler Parent Satisfaction Questionnaire - Editable

For Parent Programs

Parent Collaborative Process Checklist (rev. 2019) Parent Group Leader Collaborative Process Checklist (5-point scale, rev. 2019) Parent Final Satisfaction Questionnaire Parent Final Satisfaction Questionnaire (Spanish) Parent Final Satisfaction Questionnaire - School Age Basic Parent Program Implementation Fidelity Questionnaire Parent & Child Program Session Allignment Parent Weekly Evaluation Parent Weekly Evaluation (Spanish) Parent Weekly Evaluation (EMOJI Version)

For Group Leaders Offering Parent Programs Remotely

Weekly Parent Evaluation Tele Format Final Parent Satisfaction Tele-plus Form

For Autism Spectrum and Language Delays Program

Autism Program Parent Weekly Evaluation Autism Program Parent Final Satisfaction Questionnaire Autism Parent Final Satisfaction Questionnaire Editable Autism Process Checklist (Supplement - Use with Full Basic Checklist) ASD-P Questionnaire

For Helping Preschool Children with Autism: Teachers & Parents Program

Helping Preschool Children with Autism Weekly Evaluation Helping Preschool Children With Autism Program Final Satisfaction Questionnaire Helping Preschool Children with Autism Collaborative Process Checklist ASD-P Questionnaire ASD-T Questionnaire

For Parent Home Coach Program

Home Coach Parent Weekly Evaluation (Preschool) Home Coach Final Parent Evaluation Parent Home Coach Self Evaluation Parent Home Coach Process Checklist Baby Home Coach Weekly Parent Evaluation Baby Home Coach Final Parent Satisfaction Evaluation

Parent Demographics

Initial Parent Interview Follow Up Parent Interview Intake Interview for Clinic Families

Pre/Post Evaluations, Quality Assurance Forms

Satisfaction Forms

*See also Satisfaction forms above

Basic Parent Program Summary Scores Computing Scale Scores for Parent Satisfaction Questionnaire

Daily Telephone Discipline Interview

Parent Daily Report Checklist Parent Discipline Interview Parent Discipline Interview (Coding System) Parent Discipline Interview (Coding Sheet) Parent Discipline Interview (Tally Sheet) Parent Discipline Interview (Coding Example)

Assessment of Parenting – Attentive Parenting

Attentive Parenting Survey Measure

Parent Practices Inventory – This questionnaire is adapted from the Oregon Social Learning Center’s Discipline Questionnaire and revised for young children. It can be administered as an interview or used as a self report questionnaire and is completed by the child’s primary caregiver.

Parenting Practices Inventory - revised 2019 Parenting Practices Interview XLS Data Entry Form PPI Summary Scores - 2019 Version Scoring Instructions Parenting Practices Inventory - revised 2019 (Portuguese) Parenting Practices Interview - revised 2019 (Arabic) Parenting Practices Inventory, Interview Form (2003) Parenting Practices Inventory Scoring Guide (2003) Parenting Practices Interview (Chinese, Zip) (2003) Parenting Practices Interview (Vietnamese, Zip) (2003) Parenting Practices Inventory, Interview (Dutch) (2003) Parenting Practices Inventory, Interview (Danish) (2003) Parenting Practices Inventory, Information (Spanish) (2003)

Parent Social Competence Scale – (P-Comp) – This instrument, developed by the Conduct Problem Prevention Research Group (Fast Track), consists of 12 items that assess the child’s positive social behaviors as perceived by the parent, including frustration tolerance and communication skills. A total social competence score is derived.

Parent Social Competence Scale (PCOMP) Questionnaire PCOMP Summary Scales P-Comp (Danish)

Parent Stress Index

View the Parenting Stress Index, developed by Richard Abidin, on the Psychological Assessment Resources, Inc. website.

Parenting Scale

Parenting Scale and Scoring Information

Scale Developed by Susan G. O’Leary, David S. Arnold, Lisa S. Wolff, &
Maureen M. Acker. Psychology Department, Stony Brook University, Stony Brook, NY 11794-2500

Parent Report of Behavior Problems

The Eyberg Child Behavior Checklist (ECBI), developed by S. Eyberg, measures conduct problems in children and adolescents quickly, easily, and accurately. These measures are available on the Psychological Assessment Resources, Inc. website.

INVOLVE for Teachers and Parents

The following two questionnaires evaluate the amount and quality of parents’ involvement with their children’s education at home and at school. They are completed by parents and teachers separately.

INVOLVE form for Teachers INVOLVE form for Parents INVOLVE form for Parents (Spanish version)

INVOLVE Questionnaires Information – summary scales and internal consistency scores for both forms.

INVOLVE form for Teachers and Parents (pre-2004) INVOLVE form for Teachers and Parents (2004) Scales and Internal Consistency for Scales (Revised 2006)

Small Group Dinosaur

Small Group Dina Parent Satisfaction Questionnaire Parent Satisfaction Questionnaire (Small Group Dina, Chinese) Small Group Dina Process Checklist (Rev.2019)

Classroom Dinosaur

Classroom Dina Parent Satisfaction Questionnaire Classroom Dina Parent Satisfaction Questionnaire (Spanish) Classroom Dina Collaborative Process Checklist - Updated 2019 Teacher Best Practices Inventory

Child Assessments

Wally Social Skills and Problem Solving Game – The Wally game assesses both the qualitative and quantitative dimensions of a child’s social problem solving. The game uses a game-fantasy approach and 13 brightly colored pictures of hypothetical problem situations related to object acquisition and friendship skills.

Wally Test for Boys (Note: We only used the first 13 in the analysis.)

Wally Test for Girls (Note: We only used the first 13 in the analysis.)

Wally Test - Picture list for Treatment Studies Wally Test - Picture list for Prevention Studies Wally Problem Solving Test Assessment Directions Wally Problem Solving Test (Turkish) Coding Form for Wally Test Codes for Wally Test (by category) Codes for Wally Test (negative-positive-neither) Codes for Wally Test (numerically) Wally Test Categories (prosocial, agonistic) Wally Test (IES Wings Adaptation) Wally Test Picutres (IES Wings Adaptation)

Wally Feelings Game – Children are shown 8 colored pictures of problem situations and then asked how they would feel if this happened to them and what they would do or say to solve the problem.

Wally Feeling Test for Boys Wally Feeling Test for Girls

Teacher Collaborative Process Checklist (Rev. 2019) TCM Teacher Process Checklist TCM Teacher Satisfaction Questionnaire Teacher Peer and Self Evaluation Teacher Peer and Self Evaluation (Editable form) Teacher Self Reflection Inventory Teacher Self-Reflection Inventory (Spanish) Best Practices Inventory (TCM) Best Practices Inventory (Portuguese) Survey - Teacher Report of Special Services

Incredible Beginnings™ Measures and Forms

Teacher/Childcare Provider Practices Inventory Incredible Beginnings™ Peer Self Evaluation (Editable) Incredible Beginnings™ Self-Reflection Inventory Incredible Beginnings™ Process Checklist Incredible Beginnings™ Final Satisfaction Questionnaire Incredible Beginnings Satisfaction Data Entry Form Instructions For Using XLS Data Entry Spreadsheet For Incredible Beginnings Program Workshop Satisfaction Questionnaire

For Helping Preschool Children with Autism: Teachers & Parents Program

Helping Preschool Children with Autism Weekly Evaluation Helping Preschool Children With Autism Program Final Satisfaction Questionnaire Helping Preschool Children with Autism Collaborative Process Checklist ASD-T Questionnaire

Teacher Strategies Questionnaire

Teacher Strategies Questionnaire (American) Teacher Strategies Questionnaire (British) Teacher Strategies Questionnaire (Portuguese) Teacher Strategies Questionnaire (Scoring) Teacher Strategies Questionnaire (Zip - 1998-2005)

Teacher Report of Social Competence and Behavior

Social Competence and Behavior Evaluation (SCBE) – Preschool Edition (LaFreniere, Dumas, Dubeau, & Capuano, 1992)
This measure is an 80-item Likert rating scale developed to assess patterns of social competence, emotional regulation and expression, and adjustment difficulties in children from preschool through age 8 years. It has been normed with Head Start multi-ethnic children (LaFreniere & Dumas, 1995). The questionnaire, completed by teachers, has four summary scores (social competence, internalizing problems, externalizing problems and general adaptation) balanced for positive (competence) and negative (emotional or behavior problems) items, covering an extensive array of behaviors commonly seen within a preschool setting. The scale has good internal consistency, with Chronbach’s alpha coefficients ranging from .80 to.89. The externalizing problems and social competence scores loaded onto the child conduct problems at school construct. Chronbach’s alpha for the ethnic groups ranged from .86-.95. Reference for this measure:http://fasttrackproject.org/techrept/#scp and the SCBE available to purchase on the WPS website.

INVOLVE for Teachers and Parents

The following two questionnaires evaluate the amount and quality of parents’ involvement with their children’s education at home and at school. They are completed by parents and teachers separately.

INVOLVE form for Teachers INVOLVE form for Parents INVOLVE form for Parents (Spanish version)

INVOLVE Questionnaires Information – summary scales and internal consistency scores for both forms.

INVOLVE form for Teachers and Parents (pre-2004) INVOLVE form for Teachers and Parents (2004) Scales and Internal Consistency for Scales (Revised 2006)

Classroom Observations are typically done by trained researchers.
Independent Observation of Children in Classroom (MOOSES) – This computer-based classroom observation coding system developed by John Tapp and Joe Wehby at Vanderbilt University describes children’s behaviors in the classroom and on the playground. It includes discrete events as well as duration events (e.g., percent of time disengaged from class activities.)
MOOSES Independent Classroom Observation Coding Manual (2000) Post Observation Inventory – A post-observation inventory that is completed by school observers to assess children’s behaviors such as fighting, refusing to accept authority, harming others, breaking rules as well as prosocial behaviors such as friendliness, staying on task, completing assignments and cooperativeness. This inventory is completed after each 30 minute observation of the target child.
Child Post Observation Inventory - Social Health Profile Classroom Atmosphere Measure – This 10-item questionnaire developed by Fast Track (Conduct Problems Prevention Research Group) is completed by school observers rating overall classroom atmosphere. Measures include overall disruptive behavior and student responsiveness to rules. This inventory is completed after each 30 minute observation of the target child.
Classroom Atmosphere Measure Teacher Coder Impression Inventory (TCI) – This tool measures the quality of teacher-child interactions in the classroom and is completed after a 30 minute observation. We have used it on teachers from Headstart through grade 3 in our current study.
Teacher Coder Impressions Inventory (TCI) Teacher Coder Impression Inventory (TCI) –  Summary scales, component items and internal reliability
Teacher Coder Impressions Inventory (TCI) Summary Scores

Home Observations are typically done by trained researchers.

FAQ - Using the CII & DPICS

Dyadic Parent-Child Interaction Coding System (DPICS) – This coding manual provides complete definitions for assessing parent and child interactions.  It was revised by The University of Washington Parenting Clinic from a system originally developed by Dr. Sheila Eyberg. (136 pages)

DPICS Home Observation Manual DPICS-R Summary Scales (2006) DPICS Home Observation Tally Sheet Using DPICS For Psychometric Analysis

Coder Impressions Inventory (CII) – This assessment of parenting styles is completed following a half-hour observation of the parent-child interaction in the home.

CII Observations of Parent-Child Interactions at Home Coder Impressions Inventory Guidelines Coder Impressions Inventory Summary Scales (2006) Coder Impressions Inventory Summary Scales (2004)

Baby Group Leader Collaborative Process Checklist This rating scale is designed for researchers or certified mentors/trainers to complete following observation of a session (live or video observation).

Parent Group Leader Collaborative Process Checklist (5-point scale, rev. 2019)

This rating scale is designed for researchers or certified mentors/trainers to complete following observation of a session (live or video observation).

Child Small Group Leader Fidelity Scale (for mentors/trainers)

This rating scale is designed for researchers or certified mentors/trainers to complete after observing a therapist complete a 2-hour small group session (live or video observation).

Classroom Dina Group Process Fidelity Scale

This rating scale is designed for researchers or certified mentors/trainers to complete after observing a teacher complete a daily lesson plan (live or video observation).

Teacher Classroom Management Fidelity Checklist

This rating scale is designed for researchers or certified mentors/trainers to complete following live or video-recorded observation of a Teacher Classroom session or portion of a session.