NNCC

Child Care Program Evaluation 8:
Pre-Test/Post Test Parents Skills Questionnaire

National Network for Child Care's Connections Newsletter

Date:

County:

ID Number (First letter of your last name and last four digits of your social security number, e.g., A 1 2 3 4)_____________________

How many children do you have in each of the following age groups?

Under 1 year	1-2 yrs	3-5 yrs	6-11 yrs	12-15 yrs	16-18 yrs	Over 18

Please rate your level of self-confidence for each of the following aspects of parenting. Use this scale from 1 to 10:

Very	incapable							Very	capable
1	2	3	4	5	6	7	8	9	10

Area of Parenting:	Self-confidence rating (from 1-10)
1. Using effective discipline techniques.
2. Helping my child get along with other children.
3. Understanding when my child is ready to learn new skills.
4. Getting along with the child's grandparents.
5. Helping my child learn to speak, read, and write.
6. Teaching my child the differences between right and wrong.
7. Helping my child learn to like himself or herself.
8. Deciding on a parenting "philosophy" to follow.
9. Teaching my child to do things for himself or herself.
10. Being there when my child needs me.
11. Finding enough time to be by myself.
12. Keeping my relationship with my spouse/partner strong.
13. Being a good parent.

Personal Data: Select the response in each category that best represents you. Check only one response for each of the categories.

1. Sex:

___Male
___Female

2. Residence:

___Farm
___Rural nonfarm
___City (10,000-49,000)
___Urban/suburban (50,000+)

3. Race:

___White
___Black/Asian
___other

4. Age:

___Under 30
___30-49
___50-64
___65+

5. Education:

___Did not finish high school
___High-school graduate
___Some college or technical school
___College graduate

6. Marital Status:

___Married
___Divorced/separated
___Widowed
___Never married

7. Total yearly family income before taxes:

___Less than $9,000
___$9,000-14,999
___$15,000-24,999
___$25,000-49,000
___$50,000 and up

8. Employment

___Full time
___Part time
___Full time homemaker
___Retired
___Other

9. Number of people in your household :___________

10. If this Extension program had not been available, I would have (check one answer):

___a. Attended another free program I know of.
___b. Attended another program I know that costs____________(Fill in amount).
___c. Looked for other programs/assistance.
___d. Obtained the information on my own from books, friends, etc.
___e. Done nothing.

11. If you answered "c" above, how much would you have been willing to pay for another program?______________(Fill in amount)

Evaluation Tools Page

DOCUMENT USE/COPYRIGHT
National Network for Child Care - NNCC. Part of CYFERNET, the National Extension Service
Children Youth and Family Educational Research Network. Permission is granted to reproduce
these materials in whole or in part for educational purposes only (not for profit beyond the cost of
reproduction) provided that the author and Network receive acknowledgment and this notice is
included:

FORMAT AVAILABLE:: Internet
DOCUMENT REVIEW:: Level 3 - National Peer Review
ENTRY DATE:: December 1998

Child Care Program Evaluation 8: Pre-Test/Post Test Parents Skills Questionnaire

Child Care Program Evaluation 8:
Pre-Test/Post Test Parents Skills Questionnaire