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Joyful Together®
Joyful Together® Follow-up
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Fathers Feelings Follow-up Interview Study
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Maternal Vitality Study- For Women/Mothers
MVS Clinician Form
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PFS-2-Staff
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Intervention Note
Closing Note
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Initial Intern Evaluation Project Information Form & Agreement
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OhioGuidestone Research Portal
Toggle Navigation
Toggle Navigation
Home
About
Media Release Forms
Joyful Together®
Joyful Together® Follow-up
Father’s Feelings
Fathers Feelings Follow-up Interview Study
CareSource Project Forms
The Maternal Vitality Study
Maternal Vitality Study- For Women/Mothers
MVS Clinician Form
Staff Forms
PFS-2-Staff
Staff Joyful Together® Fidelity Tool
Supervisor Fidelity Process Guidance Tool
Clinical Note
Intervention Note
Closing Note
Student Intern Evaluation Projects
Initial Intern Evaluation Project Information Form & Agreement
Updated Intern Evaluation Project Form
Care Questionnaire
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Electronic Agreement
*
By checking this box, I agree to use electronic records and electronic signatures.
Staff name
First
Last
For staff use only
Date
*
Access code
*
Pre or Post
*
Pre
Post
Beliefs About Caring for Children
Fathering ends when my child turns 18.
*
True
False
Fathering begins only when my child is born.
*
True
False
Babies' brains are still developing after birth.
*
True
False
Holding and cuddling babies has very little to do with brain growth—proper nutrition enhances growth.
*
True
False
Anger can be old feelings of hurt that are finally being expressed.
*
True
False
It is important to love and care for myself as well as my baby.
*
True
False
Babies should never be disciplined using spanking.
*
True
False
When children are crying, parents need to let them cry themselves to sleep to learn self-control.
*
True
False
Fathers should always respond to their baby's crying with empathy by figuring out what the baby needs.
*
True
False
Self-worth is
*
Developed from the way others think about us.
The thoughts and feelings we have about ourselves.
Learned in childhood and is difficult to change.
Dependent on how well our children behave.
Parents should praise themselves in front of their children.
*
It's a good idea to model self-praise.
Are you kidding—self-praise is like bragging.
Children are going to think this is really weird.
Not a good idea—this will definitely turn people off.
Parenting Practices
Since you learned you were going to have this baby, how often do you:
Make time to love and care for yourself?
*
Always (Every day)
Often (Most days)
Sometimes (Some days)
Rarely (Few days)
Never (No days)
Recognize your personal strengths?
*
Always (Every day)
Often (Most days)
Sometimes (Some days)
Rarely (Few days)
Never (No days)
Have dreams or imagine a positive future for your child?
*
Always (Every day)
Often (Most days)
Sometimes (Some days)
Rarely (Few days)
Never (No days)
Hold, play, sing, or read to your baby?
*
Always (Every day)
Often (Most days)
Sometimes (Some days)
Rarely (Few days)
Never (No days)
Manage stress in appropriate ways?
*
Always (Every day)
Often (Most days)
Sometimes (Some days)
Rarely (Few days)
Never (No days)
Express anger in appropriate ways?
*
Always (Every day)
Often (Most days)
Sometimes (Some days)
Rarely (Few days)
Never (No days)
Make time to get your own needs met?
*
Always (Every day)
Often (Most days)
Sometimes (Some days)
Rarely (Few days)
Never (No days)
Express unconditional love for your baby?
*
Always (Every day)
Often (Most days)
Sometimes (Some days)
Rarely (Few days)
Never (No days)
Help your baby get their needs met?
*
Always (Every day)
Often (Most days)
Sometimes (Some days)
Rarely (Few days)
Never (No days)
Have awareness of your own needs?
*
Always (Every day)
Often (Most days)
Sometimes (Some days)
Rarely (Few days)
Never (No days)
Get your needs met in healthy ways?
*
Always (Every day)
Often (Most days)
Sometimes (Some days)
Rarely (Few days)
Never (No days)
Feel comfortable responding to a crying baby?
*
Always (Every day)
Often (Most days)
Sometimes (Some days)
Rarely (Few days)
Never (No days)
Submit