Info for

Family First Prevention Services Act Evaluation Forms

This section is a listing of available data collection materials that are provided according to agency and program. Please select your agency and program to view the evaluation materials (e.g., surveys, scoring instructions, data collection checklists, etc.) relevant to your site.

Form Measures and Scores
Measures	Scoring
Strengths and Difficulties Questionnaire (SDQ) 11-17 Full (pdf) Strengths and Difficulties Questionnaire (SDQ) 11-17 Follow Up (pdf)	Strengths and Difficulties (SDQ) Scoring 4-17 (pdf)
Parenting Sense of Competence Scale Adult (PSOC) (pdf) Parenting Sense of Competence Scale Child (PSOC) (pdf)	Interpreting the PSOC PSOC Scoring (pdf)
Depression, Anxiety and Stress Scale Adult (DASS-21) (pdf) Depression, Anxiety and Stress Scale Child (DASS-21) (pdf)	DASS-21 Scoring (pdf)
Drug Abuse Screen Test Adult (DAST-10) (pdf) Drug Abuse Screen Test Child (DAST-10) (pdf)	DAST-10 Scoring (pdf)
Alcohol Use Disorders Identification Test (AUDIT) (pdf) Alcohol Use Disorders Identification Test Child (AUDIT) (pdf)	AUDIT Scoring (pdf)

Form Measures and Scores
Measures	Scoring
Depression, Anxiety and Stress Scale Adult (DASS-21) (pdf) Depression, Anxiety and Stress Scale Child (DASS-21) (pdf)	DASS-21 Scoring (pdf)
Drug Abuse Screen Test (DAST-10) (pdf) Drug Abuse Screen Test Child (DAST-10) (pdf)	DAST-10 Scoring (pdf)
Alcohol Use Disorders Identification Test (AUDIT) (pdf) Alcohol Use Disorders Identification Test Child (AUDIT) (pdf)	AUDIT Scoring (pdf)
Ages and Stages Questionnaire (ASQ:SE2)

Form Measures and Scores
Measures	Scoring
Parenting Sense of Competence Scale (PSOC) - Prenatal (pdf)	Interpreting the PSOC PSOC Scoring (pdf)
Parenting Sense of Competence Scale (PSOC) (pdf) Parenting Sense of Competence Scale Child (PSOC) (pdf)	Interpreting the PSOC PSOC Scoring (pdf)
Ages and Stages Questionnaire (ASQ:SE2) Ages and Stages Questionnaire Teen (ASQ:SE2)

Form Measures and Scoring
Measures	Scoring
Ages and Stages Questionnaire (ASQ:SE2) Ages and Stages Questionnaire Teen (ASQ:SE2)
Strengths and Difficulties Questionnaire (SDQ) 2-4 Full (pdf) Strengths and Difficulties Questionnaire (SDQ) 2-4 Follow Up(pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 2-4 Full (pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 2-4 Follow Up(pdf)	Strengths and Difficulties (SDQ) Scoring 2-4 (pdf)
Strengths and Difficulties Questionnaire (SDQ) 4-10 Full (pdf) Strengths and Difficulties Questionnaire (SDQ) 4-10 Follow Up(pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 4-10 Full (pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 4-10 Follow Up(pdf)	Strengths and Difficulties (SDQ) Scoring 4-17 (pdf)
Strengths and Difficulties Questionnaire (SDQ) 11-17 Full (pdf) Strengths and Difficulties Questionnaire (SDQ) 11-17 Follow Up (pdf)	Strengths and Difficulties (SDQ) Scoring 4-17 (pdf)
Parenting Sense of Competence Scale (PSOC) (pdf) Parenting Sense of Competence Scale Child (PSOC) (pdf)	Interpreting the PSOC PSOC Scoring (pdf)
Depression, Anxiety and Stress Scale (DASS-21) (pdf) Depression, Anxiety and Stress Scale Child (DASS-21) (pdf)	DASS-21 Scoring (pdf)
Drug Abuse Screen Test (DAST-10) (pdf) Drug Abuse Screen Test Child (DAST-10) (pdf)	DAST-10 Scoring (pdf)
Alcohol Use Disorders Identification Test (AUDIT) (pdf) Alcohol Use Disorders Identification Test Child (AUDIT) (pdf)	AUDIT Scoring (pdf)

Form Measures and Scoring
Measures	Scoring
Ages and Stages Questionnaire (ASQ:SE2) Ages and Stages Questionnaire Teen (ASQ:SE2)
Strengths and Difficulties Questionnaire (SDQ) 2-4 Full (pdf) Strengths and Difficulties Questionnaire (SDQ) 2-4 Follow Up(pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 2-4 Full (pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 2-4 Follow Up(pdf)	Strengths and Difficulties (SDQ) Scoring 2-4 (pdf)
Strengths and Difficulties Questionnaire (SDQ) 4-10 Full (pdf) Strengths and Difficulties Questionnaire (SDQ) 4-10 Follow Up(pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 4-10 Full (pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 4-10 Follow Up(pdf)	Strengths and Difficulties (SDQ) Scoring 4-17 (pdf)
Strengths and Difficulties Questionnaire (SDQ) 11-17 Full (pdf) Strengths and Difficulties Questionnaire (SDQ) 11-17 Follow Up (pdf)	Strengths and Difficulties (SDQ) Scoring 4-17 (pdf)
Parenting Sense of Competence Scale (PSOC) (pdf) Parenting Sense of Competence Scale Child (PSOC) (pdf)	Interpreting the PSOC PSOC Scoring (pdf)
Parenting Sense of Competence Scale (PSOC) - Prenatal (pdf)	Interpreting the PSOC PSOC Scoring (pdf)
Depression, Anxiety and Stress Scale (DASS-21) (pdf) Depression, Anxiety and Stress Scale Child (DASS-21) (pdf)	DASS-21 Scoring (pdf)

Form Measures and Scores
Measures	Scoring
Ages and Stages Questionnaire (ASQ:SE2) Ages and Stages Questionnaire Teen (ASQ:SE2)
Strengths and Difficulties Questionnaire (SDQ) 2-4 Full (pdf) Strengths and Difficulties Questionnaire (SDQ) 2-4 Follow Up(pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 2-4 Full (pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 2-4 Follow Up(pdf)	Strengths and Difficulties (SDQ) Scoring 2-4 (pdf)
Strengths and Difficulties Questionnaire (SDQ) 4-10 Full (pdf) Strengths and Difficulties Questionnaire (SDQ) 4-10 Follow Up(pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 4-10 Full (pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 4-10 Follow Up(pdf)	Strengths and Difficulties (SDQ) Scoring 4-17 (pdf)
Strengths and Difficulties Questionnaire (SDQ) 11-17 Full (pdf) Strengths and Difficulties Questionnaire (SDQ) 11-17 Follow Up (pdf)	Strengths and Difficulties (SDQ) Scoring 4-17 (pdf)
Parenting Sense of Competence Scale (PSOC) (pdf) Parenting Sense of Competence Scale Child (PSOC) (pdf)	Interpreting the PSOC PSOC Scoring (pdf)
Parenting Sense of Competence Scale (PSOC) - Prenatal (pdf)	Interpreting the PSOC PSOC Scoring (pdf)
Depression, Anxiety and Stress Scale (DASS-21) (pdf) Depression, Anxiety and Stress Scale Child (DASS-21) (pdf)	DASS-21 Scoring (pdf)

Form Measures and Scores

Measures

Scoring

Parenting Sense of Competence Scale (PSOC) (pdf)

Parenting Sense of Competence Scale Child (PSOC) (pdf)

Interpreting the PSOC

PSOC Scoring (pdf)

Form Measures and Scores

Measures

Scoring

Strengths and Difficulties Questionnaire (SDQ) 11-17 Full (pdf)

Strengths and Difficulties Questionnaire (SDQ) 11-17 Follow Up (pdf)

Strengths and Difficulties (SDQ) Scoring 4-17 (pdf)

Parenting Sense of Competence Scale (PSOC) (pdf)

Parenting Sense of Competence Scale Child (PSOC) (pdf)

Interpreting the PSOC

PSOC Scoring (pdf)

Form Measures and Scores
Measures	Scoring
Strengths and Difficulties Questionnaire (SDQ) 2-4 Full (pdf) Strengths and Difficulties Questionnaire (SDQ) 2-4 Follow Up(pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 2-4 Full (pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 2-4 Follow Up(pdf)	Strengths and Difficulties (SDQ) Scoring 2-4 (pdf)
Strengths and Difficulties Questionnaire (SDQ) 4-10 Full (pdf) Strengths and Difficulties Questionnaire (SDQ) 4-10 Follow Up(pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 4-10 Full (pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 4-10 Follow Up(pdf)	Strengths and Difficulties (SDQ) Scoring 4-17 (pdf)
Parenting Sense of Competence Scale (PSOC) (pdf) Parenting Sense of Competence Scale Child (PSOC) (pdf)	Interpreting the PSOC PSOC Scoring (pdf)

FOrm Measures and Scores

Measures

Scoring

Strengths and Difficulties Questionnaire (SDQ) 11-17 Full (pdf)

Strengths and Difficulties Questionnaire (SDQ) 11-17 Follow Up (pdf)

Strengths and Difficulties (SDQ) Scoring 4-17 (pdf)

Parenting Sense of Competence Scale (PSOC) (pdf)

Parenting Sense of Competence Scale Child (PSOC) (pdf)

Interpreting the PSOC

PSOC Scoring (pdf)

Form Measures and Scores

Measures

Scoring

Ages and Stages Questionnaire (ASQ:SE2)

Ages and Stages Questionnaire Teen (ASQ:SE2)

Parenting Sense of Competence Scale (PSOC) (pdf)

Parenting Sense of Competence Scale Child (PSOC) (pdf)

Interpreting the PSOC

PSOC Scoring (pdf)

Form Measures and Scores
Measures	Scoring
Ages and Stages Questionnaire (ASQ:SE2) Ages and Stages Questionnaire Teen (ASQ:SE2)
Parenting Sense of Competence Scale (PSOC) - Prenatal (pdf)	Interpreting the PSOC PSOC Scoring (pdf)
Parenting Sense of Competence Scale (PSOC) (pdf) Parenting Sense of Competence Scale Child (PSOC) (pdf)	Interpreting the PSOC PSOC Scoring (pdf)

Form Measures and Scores
Measures	Scoring
Ages and Stages Questionnaire (ASQ:SE2) Ages and Stages Questionnaire Teen (ASQ:SE2)
Parenting Sense of Competence Scale (PSOC) - Prenatal (pdf)	Interpreting the PSOC PSOC Scoring (pdf)
Parenting Sense of Competence Scale (PSOC) (pdf) Parenting Sense of Competence Scale Child (PSOC) (pdf)	Interpreting the PSOC PSOC Scoring (pdf)

Form Measures and Scores
Measures	Scoring
Strengths and Difficulties Questionnaire (SDQ) 2-4 Full (pdf) Strengths and Difficulties Questionnaire (SDQ) 2-4 Follow Up(pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 2-4 Full (pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 2-4 Follow Up(pdf)	Strengths and Difficulties (SDQ) Scoring 2-4 (pdf)
Strengths and Difficulties Questionnaire (SDQ) 4-10 Full (pdf) Strengths and Difficulties Questionnaire (SDQ) 4-10 Follow Up(pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 4-10 Full (pdf) Strengths and Difficulties Questionnaire Teen (SDQ) 4-10 Follow Up(pdf)	Strengths and Difficulties (SDQ) Scoring 4-17 (pdf)
Parenting Sense of Competence Scale (PSOC) (pdf) Parenting Sense of Competence Scale Child (PSOC) (pdf)	Interpreting the PSOC PSOC Scoring (pdf)

Script Language for Change in Caregiver (PDF)

Changing a Primary Caregiver in DAISEY - Instructional Video

FAQ - Change in Caregiver

Change in Caregiver Form Versions
Alcohol Use Disorders Identification Test (AUDIT) - Change in Caregiver (PDF)
Drug Abuse Screen Test (DAST-10) - Change in Caregiver (PDF)
Depression, Anxiety and Stress Scale (DASS-21) - Change in Caregiver (PDF)
Parenting Sense of Competence Scale (PSOC) - Change in Caregiver (PDF)
Strengths and Difficulties Questionnaire (SDQ) 2-4 - Change in Caregiver (PDF)
Strengths and Difficulties Questionnaire (SDQ) 4-10 - Change in Caregiver (PDF)
Strengths and Difficulties Questionnaire (SDQ) 11-17 - Change in Caregiver (PDF)

Script Language for Retrospective Prenatal PSOC (PDF)

PSOC Retrospective Form Version
Prenatal Retrospective Parenting Sense of Competence Scale (PSOC) (PDF)

Demographics Questionnaire

Demographics Questionnaire (PDF)

Demographics Questionnaire Child (PDF)

Measures

Alcohol Use Disorders Identification Test (AUDIT) (PDF)

Alcohol Use Disorders Identification Test Child (AUDIT) (PDF)

Drug Abuse Screen Test (DAST-10) (PDF)

Drug Abuse Screen Test Child (DAST-10) (PDF)

Depression, Anxiety and Stress Scale (DASS-21) (PDF)

Depression, Anxiety and Stress Scale Child (DASS-21) (PDF)

Parenting Sense of Competence Scale (PSOC) (PDF)

Parenting Sense of Competence Scale Teen (PSOC) (PDF)

Parenting Sense of Competence Scale (PSOC) - Prenatal (PDF)

Strengths and Difficulties Questionnaire Time 1 (SDQ) Full 2-4 (PDF)

Strengths and Difficulties Questionnaire Time 1 Teen (SDQ) Full 2-4 (PDF)

Strengths and Difficulties Questionnaire (SDQ) Follow Up 2-4 (PDF)

Strengths and Difficulties Questionnaire Teen (SDQ) Follow Up 2-4 (PDF)

Strengths and Difficulties Questionnaire Time 1 (SDQ) Full 4-10 (PDF)

Strengths and Difficulties Questionnaire Time 1 Teen (SDQ) Full 4-10 (PDF)

Strengths and Difficulties Questionnaire (SDQ) Follow Up 4-10 (PDF)

Strengths and Difficulties Questionnaire Teen (SDQ) Follow Up 4-10 (PDF)

Strengths and Difficulties Questionnaire (SDQ) Time 1 11-17 (PDF)

Strengths and Difficulties Questionnaire (SDQ) Follow Up 11-17 (PDF)

Change in Caregiver
Alcohol Use Disorders Identification Test (AUDIT) (PDF)
Drug Abuse Screen Test (DAST-10) (PDF)
Depression, Anxiety and Stress Scale (DASS-21) (PDF)
Parenting Sense of Competence Scale (PSOC) (PDF)
Strengths and Difficulties Questionnaire (SDQ) Full 2-4 (PDF)
Strengths and Difficulties Questionnaire (SDQ) Full 4-10 (PDF)
Strengths and Difficulties Questionnaire (SDQ) Full 11-17 (PDF)

FFPSA Resources

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