Family Strengths and Needs Quiz :: CFS Head Start of Rock and Walworth Counties, Wisconsin

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Family Strengths and Needs Quiz

Links to Community Services Available!

You are invited to use the following self-assessment to help you think about your family’s strengths and needs. As you fill out the quiz, the computer will use the information you provide to offer links to services available in Rock and Walworth Counties. The links include programs that work collaboratively with Head Start and Early Head Start to serve children and families.

This quiz is voluntary and completely confidential—no record of your results will be maintained. (Thank you to the Rock County Home Visit Network for providing this format.)

You are not required to answer all questions. At any time you may submit the quiz using the button at the bottom of the page.


1. My level of education is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
2. My employment is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
3. Care for my child during work hours is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
4. My child's education program is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
5. Time spent as a family is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
6. My knowledge of positive parenting techniques is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
7. My child's behavior is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
8. The support I receive from others is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
9. My neighborhood is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
10. My utilities (heat, utilities, plumbing) are…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
11. My housing is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
12. According to state law, my infant/child's immunizations are…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
13. My family's medical/dental insurance is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
14. My family's (including those with special needs) medical and dental care is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
15. My ability to budget and save money is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
16. My family income is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
17. My food supply is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
18. My infant/child's eating habit's are…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
19. Time for food perperation is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
20. My knowledge of healthy foods is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply
21. My transportation is…	Almost Always Adequate Sometimes Adequate Seldom Adequate Not at all Adequate Does Not Apply

© 2005 CFS Head Start & Early Head Start of Rock and Walworth Counties
1221 Henry Avenue, Beloit, WI 53511
(608) 299-1500 or Toll Free (800) 774-7778

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