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Punjabi Community Health Services

RAISING RESPONSIBLE CHILDREN EXERCISE FOR PARENTS This form is to be completed by the parent(s) and brought in the following session. Each participant will individually complete this form and then return the completed form to the facilitator. A group discussion will follow each session, addressing different concerns. 1. Did you use the skills you learned last week? _____ Yes _____No

2. How did you use the skills you learned last week?

3. Rate your learning and application of skills learned at Parenting Sessions? 0 1 Not at all 2 3 4 somewhat 5 6 7 reasonably 8 9 10 a great deal

4. Please write your concerns with regards to child/children-

THANKS

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