SYSTEMS NAVIGATION: FAMILY EMPOWERMENT SCALE These questions ask about several areas of your life your family, your your community. – child’s services, and The questions include many different activities that parents may or may not do. For questions that do not that other people may be involved in caring for and apply to you, please answer “Never.” Also, we know making decisions about your child, but please answer the questions by thinking of your own situation. Please feel free to write any additional comments at the end. SOME VERY ABOUT YOUR FAMILY… NEVER SELDOM OFTEN TIMES OFTEN When problems arise with my child, I handle them pretty well. 1 2 3 4 5 I feel confident in my ability to help my child grow & develop. 1 2 3 4 5 I know what to do when problems arise with my child. 1 2 3 4 5 I feel my family life is under control. 1 2 3 4 5 I am able to get information to help me better understand my 1 2 3 4 5 child. I believe I can solve problems with my child when they 1 2 3 4 5 happen. When I need help with problems in my family, I am able to ask 1 2 3 4 5 for help from others. I make efforts to learn new ways to help my child grow and 1 2 3 4 5 develop. When dealing with my child, I focus on the good things as well 1 2 3 4 5 as the problems. When faced with a problem involving my child, I decide what 1 2 3 4 5 to do and then do it. I have a good understanding of my needs. 1 2 3 4 5 child’s I feel I am a good parent. 1 2 3 4 5 SOME VERY ABOUT YOUR CHILD’S SERVICES… NEVER SELDOM OFTEN TIMES OFTEN I feel that I have a right to approve all services my child 1 2 3 4 5 receives. I know the steps to take when I am concerned my child is 1 2 3 4 5 receiving poor services. I make sure that professionals understand my opinions about 1 2 3 4 5 what services my child needs.
SYSTEMS NAVIGATION: FAMILY EMPOWERMENT SCALE These questions ask about several areas of your life – your family, your child’s services, and your community. The questions include many different activities that parents may or may not do. For questions that do not apply to you, please answer “Never.” Also, we know that other people may be involved in caring for and making decisions about your child, but please answer the questions by thinking of your own situation. Please feel free to write any additional comments at the end. ABOUT YOUR FAMILY… NEVER SELDOM SOME TIMES OFTEN VERY OFTEN When problems arise with my child, I handle them pretty well. 1 2 3 4 5 I feel confident in my ability to help my child grow & develop. 1 2 3 4 5 I know what to do when problems arise with my child. 1 2 3 4 5 I feel my family life is under control. 1 2 3 4 5 I am able to get information to help me better understand my child. 1 2 3 4 5 I believe I can solve problems with my child when they happen. 1 2 3 4 5 When I need help with problems in my family, I am able to ask for help from others. 1 2 3 4 5 I make efforts to learn new ways to help my child grow and develop. 1 2 3 4 5 When dealing with my child, I focus on the good things as well as the problems. 1 2 3 4 5 When faced with a problem involving my child, I decide what to do and then do it. 1 2 3 4 5 I have a good understanding of my child’s needs. 1 2 3 4 5 I feel I am a good parent. 1 2 3 4 5 ABOUT YOUR CHILD’S SERVICES… NEVER SELDOM SOME TIMES OFTEN VERY OFTEN I feel that I have a right to approve all services my child receives. 1 2 3 4 5 I know the steps to take when I am concerned my child is receiving poor services. 1 2 3 4 5 I make sure that professionals understand my opinions about what services my child needs. 1 2 3 4 5