A. Household Composition

H. Indoor Home Safety

B. History of Physical Abuse

I. Outdoor and Neighborhood Safety

C. History of Emotional Abuse

J. Supervision of Child

D. History of Sexual Abuse

K. Physical and Emotional Disciplinary Practices

E. History of Substance Abuse

L. Food and Nutrition

F. History of Family Violence   

M. Hygiene of Child and Parent

G. Living Conditions

N. Wardrobe/Clothing

A. Case Plan Progression

E. Budgeting

B. Housing Stability

F. Transportation

C. Household Management

G. Support within the Family

D. Income/Employment        

H. Relationship with Sibling(s)

A. Nurturing of Child

F. Child’s Relationships with Peers

B. Expectation of Child

G. Child’s Physical Health

C. Parent’s Peer/Comm. Support System

H. Child’s Mental Health

D. School Performance/Educational Needs

I. Parent’s Physical Health

E. Child’s Enrichment Need 

J. Parent’s Mental Health

K. Child’s Dental Health