You are on page 1of 5

Child abuse scale:

GENDER ____________ CLASS ____________ AGE ____________

1. My parents give importance to my opinion in every affairs related to me


and home .
i) Never ii) Seldom iii) Often iv)Always
2. My parents attitude is friendly with me
i) Never ii) Seldom iii)Often iv)Always
3. My parents spend a lot of time with me.
i) Never ii)Seldom iii)Often iv)Always
4. My parents take care of my likes and dislikes
i)Never ii)Seldom iii)Often iv)Always
5. My parents help me to solve problems related to my studies/education.
i)Never ii)Seldom iii)Often iv)Always
6. My parents attend different functions at my school,espically parents day
etc.
i)Never ii)Seldom iii)Often iv)Always
7. My parents make me ready for school in time.
i)Never ii)Seldom iii)Often iv)Always
8. My parents carefully listen to my problems related to my
studies/education.
i)Never ii)Seldom iii)Often iv)Always
9. I go for excursion activities with my parents.
i)Never ii)Seldom iii)Often iv)Always
10.My parents take interest in my curricular activities and extracurricular
activities .
i)Never ii)Seldom iii)Often iv)Always
11.I accompy my parents in different functions.
i)Never ii)Seldom iii)Often iv)Always
12.My parents take interest in my daily routine .
i)Never ii)Seldom iii)Often iv)Always
13.My parents slap me
i)Never ii)Seldom iii)Often iv)Always
14.My parents beat me in the presence of my friends
i)Never ii)Seldom iii)Often iv)Always
15.My parents suspect me .
i)Never ii)Seldom iii)Often iv)Always
16.My parents use abusive language with me .
i)Never ii)Seldom iii)Often iv)Always
17.my parents ridicule me for my features .
i)Never ii)Seldom iii)Often iv)Always
18.My parents scold me in the presence of other people/guest.
i)Never ii)Seldom iii)Often iv)Always
19.My parents criticize my work .
i)Never ii)Seldom iii)Often iv)Always
20.My parents express their aggression on me
i)Never ii)Seldom iii)Often iv)Always
21.My parents discuss my weakness with other people .
i)Never ii)Seldom iii)Often iv)Always
22.My parents insults me
i)Never ii)Seldom iii)Often iv)Always
23.My parents make me realize that the hate me .
i)Never ii)Seldom iii)Often iv)Always
24.My parents make me realize that they do so much for me /I owe so much
to them.
i)Never ii)Seldom iii)Often iv)Always
25.When I make a mistake, my parents share it with other and ridicule me
along with them .
i)Never ii)Seldom iii)Often iv)Always
26.My parents physically torture me on the unintended loss of domestic
articles by me.
i)Never ii)Seldom iii)Often iv)Always
27.my parents provide me food on proper timing .
i)Never ii)Seldom iii)Often iv)Always
28.My parents force me to do physical labor
i)Never ii)Seldom iii)Often iv)Always
29.My parents burn different parts of my body .
i)Never ii)Seldom iii)Often iv)Always
30.I am physically injured by my parents .
i)Never ii)Seldom iii)Often iv)Always
31.Whenever I get injury /hurt my parents care for me .
i)Never ii)Seldom iii)Often iv)Always
32.I have to do a lot of work at home with my parents.
i)Never ii)Seldom iii)Often iv)Always
33.Whenever I get sick my parents take it as a lame excuse on my part .
i)Never ii)Seldom iii)Often iv)Always
34.I have to look after at my younger siblings at home .
i)Never ii)Seldom iii)Often iv)Always

Academic Performance Rating Scale (APRS)


1. Estimate the percentage of written math work completed (regardless of accuracy)
relative to classmates.
0-49% 50-69% 70-79% 80-89% 90-100%
1 2 3 4 5
2. Estimate the percentage of written language arts work completed (regardless of
accuracy) relative to classmates
0-49% 50-69% 70-79% 80-89% 90-100%
1 2 3 4 5
3. Estimate the accuracy of completed written math work (i.e., percent correct of work
done).
0-64% 65-69% 70-79% 80-89% 90-100%
1 2 3 4 5
4. Estimate the accuracy of completed written language arts work (i.e., percent correct
of work done).
0-64% 65-69% 70-79% 80-89% 90-100%
1 2 3 4 5
5. How consistent has the quality of this child’s academic work been over
the past week
Consistently more poor than variable more successful consistenly
poor than successful than poor successful
1 2 3 4 5
6. How frequently does the student accurately follow teacher instructions and/or class
discussion during large-group (e.g., whole class) instruction?
Never Rarely Sometimes Often Very often
1 2 3 4 5
7. How frequently does the student accurately follow teacher instructions and/or class
discussion during small-group (e.g., reading group) instruction?
Never Rarely Sometimes Often Very often
1 2 3 4 5
8. How quickly does this child learn new material (i.e., pick up novel concepts)?
Very slowly slow average Quickly very Quickly
1 2 3 4 5
9. What is the quality or neatness of this child handwriting .
Poor fair average above average excellent
1 2 3 4
10. What is the quality of this child’s reading skills?
Poor fair average above average excellent
1 2 3 4 5
11. What is the quality of this child’s speaking skills?
Poor fair average above average excellent
1 2 3 4 5
12. How often does the child complete written work in a careless, hasty fashion?
Never Rarely Sometimes Often Very often
1 2 3 4 5
13 How frequently does the child take more time to com- plete work than his/her
classmates?
Never Rarely Sometimes Often Very often
1 2 3 4 5
14 How often is the child able to pay attention without you prompting him/her?
Never Rarely Sometimes Often Very often
1 2 3 4 5
15. How frequently does this child require your assistance to accurately complete his/
her academic work?
Never Rarely Sometimes Often Very often
1 2 3 4 5
16. How often does the child begin written work prior to understanding the directions?
Never Rarely Sometimes Often Very often
1 2 3 4 5
17.How frequently does this child have difficulty recalling material from a previous
day’s lessons?
Never Rarely Sometimes Often Very often
1 2 3 4 5
18.How often does the child ap- pear to be staring excessively or “spaced out”?
Never Rarely Sometimes Often Very often
1 2 3 4 5
19. how often does the child withdrawn or tend to lack an emotional response in a social
situation ?
Never Rarely Sometimes Often Very often
1 2 3 4 5

You might also like