Family Balance Assessment


1. Does your family have a routine that works?

a) Yes
b) No
2. Do all family members understand their role in the family?

a) Yes
b) No
3. Do you have fun together as a family on a regular basis?

a) Yes
b) No
4. Do all family members get on well?

a) Yes
b) No
5. Does each family member help with age appropriate chores?

a) Yes
b) No
6. Does your family drink more water daily rather than other drinks?

a) Yes
b) No
7. Is your family diet generally healthy with “junk” food in moderation?

a) Yes
b) No
8. Does your family eat fresh fruits & vegetables everyday?

a) Yes
b) No
9. Does your family eat at least one meal a day together at the dining table?

a) Yes
b) No
10. Does your family eat 3 healthy meals & 2 healthy snacks a day?

a) Yes
b) No
11. Do family members have their own set bedtimes?

a) Yes
b) No
12. Does your family wake up at the same time every morning?

a) Yes
b) No
13. Do all family members sleep through the night without waking up?

a) Yes
b) No
14. Do all family members wake up cheerful in the morning?

a) Yes
b) No
15. Do all family members feel safe and secure at night?

a) Yes
b) No
16. Do family members feel that they can speak about their feelings safely?

a) Yes
b) No
17. Is your family physically active on a daily basis

a) Yes
b) No
18. Do all family members enjoy exercise?

a) Yes
b) No
19. Do your family members play sport at least once a week?

a) Yes
b) No
20. Does your family know the benefit of exercise?

a) Yes
b) No
This is more feedback!
This is the feedback!


 
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