Child Concern Index (CCI) Comprehensive Assessment


Revive Family and One Rule Home is proud to bring parents this vital Situation Assessment for free. Similar reports cost $50.00 to $200.00. This Situation Assessment was developed over twenty years and is based upon our qualitative research with over 3,000 kids and work with tens of thousands of families. This assessment will provide a report related to the risk factors you are facing with your child and recommend the best path forward related to the issues you are facing.


THE ASSESSMENT WILL RETURN A NUMERICAL VALUE THAT WILL INDICATE IF YOU WILL BE ABLE TO ADDRESS THE SITUATION YOU ARE FACING ON YOUR OWN WITH INFORMATION AND GUIDANCE OR IF YOUR CHILD WILL NEED OUTSIDE HELP TO HEAD IN A BETTER DIRECTION. ATTACHED TO THIS NUMBER WILL BE A DETAILED REPORT RELATED TO YOUR ANSWERS THAT WILL OFFER INFORMATION, CLARIFICATION, AND GUIDANCE RELATED TO YOUR SITUATION.

Important: We take confidentiality very seriously and the assessment and this report is encrypted. This report will be 20+ pages long. The accuracy of the assessment depends upon how brutally accurate you are with the situation, family, and behaviors in the assessment. The natural tendency is to want to protect ourselves at some level when taking assessments. Please be as accurate as you can. If you are debating between one or another response please 50% of the time select the more serious response.

© Copyright, Jeff Schadt

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Revive Family’s Child Concern Index Assessment, it’s questions, content, algorithms, report and recommendations are copyrighted and patented. Use of its contents for anything other than personal use within your family is strictly prohibited. If you would like to use this assessment in your organization, school, counseling practice, or religious organization it can be arranged by contacting Revive Family
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Enter age of the child in question
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Are you a single parent?
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Are you co-parenting?
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How healthy is your co-parenting partner? (1 Unhealthy - 5 Very healthy)
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Our relationship has gotten closer and more open as my child has grown older.
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My child's behavior or issues include: Disrespect (1 Never - 5 Consistently)
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My child's behavior or issues include: Reactions/Anger (1 Never - 5 Consistently)
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My child's behavior or issues include: Reactions/Tears (1 Never - 5 Consistently)
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My child's behavior or issues include: Defensiveness (1 Never - 5 Consistently)
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My child's behavior or issues include: Lying and hiding (1 Never - 5 Consistently)
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My child's behavior or issues include: Motivation/Follow through (1 Never - 5 Consistently)
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My child's behavior or issues include: Sibling conflict (1 Never - 5 Consistently)
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My child's behavior or issues include: Meltdowns/Tantrums (1 Never - 5 Consistently)
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My child's behavior or issues include: Screen time issues/Obsession (1 Never - 5 Consistently)
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My child's behavior or issues include: Exhibits negativity about self, life, and or us (1 Never - 5 Consistently)
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My child's behavior or issues include: Depression (1 Never - 5 Consistently)
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My child's behavior or issues include: Anxiety (1 Never - 5 Consistently)
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My child's behavior or issues include: Fear (1 Never - 5 Consistently)
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My child's behavior or issues include: Body dysmorphia A mental illness involving obsessive focus on a perceived flaw in appearance. (1 Never - 5 Consistently)
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I see my child as: (Select all that apply)
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My child avoids me or seeks to not interact with me: (1 All the time - 5 Rarely)
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I or spouse (present or former) use consequences like lectures, reactions, grounding, additional chores, time outs, taking the internet or screen time away. (Select one)
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How effective are the consequences you are using with your child? (Select one)
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What is the typical response to their receiving consequences (Check all that apply)
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We issue consequences like grounding, additional chores, time outs, and taking the internet or screen time away. (Select one)
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My child seems genuinely happy with who they are? (Select one)
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My child is influenced by their peers? (Select one)
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Rate how you see the relationship with your child is going at this time on a 1 to 7 scale: I understand my child's perspective (1 Not at all - 7 Completely)
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Rate how you see the relationship with your child is going at this time on a 1 to 7 scale: I am emotionally close to my child (1 Not at all - 7 We are very close)
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Rate how you see the relationship with your child is going at this time on a 1 to 7 scale: My child listens to his/her father/mother (1 Never - 7 All the time)
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Rate how you see the relationship with your child is going at this time on a 1 to 7 scale: My child believes I think they are doing well (1 Rarely - 7 Always)
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Rate how you see the relationship with your child is going at this time on a 1 to 7 scale: My child knows I think they make good decisions (1 Rarely - 7 Always)
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Rate how you see the relationship with your child is going at this time on a 1 to 7 scale: My child answers my questions (1 Resentfully - 7 Openly/Freely)
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Rate how you see the relationship with your child is going at this time on a 1 to 7 scale: We argue about their performance (1 Rarely - 7 Consistently)
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Rate how you see the relationship with your child is going at this time on a 1 to 7 scale: We argue about their friends (1 Rarely - 7 Consistently)
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If asked for their perspective of their relationship with you, your child would indicate that: My parents listen to me (1 Never - 7 All the time)
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If asked for their perspective of their relationship with you, your child would indicate that: My parents understand me (1 Never - 7 Very well)
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If asked for their perspective of their relationship with you, your child would indicate that: I am emotionally connected to my parents (1 Not at all - 7 Very connected)
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If asked for their perspective of their relationship with you, your child would indicate that: I can please my parents (1 Never - 7 Most of the time)
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If asked for their perspective of their relationship with you, your child would indicate that: I am afraid to be honest with my parents (1 Most of the time - 7 Never)
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If asked for their perspective of their relationship with you, your child would indicate that: My parents trust me (1 Rarely - 7 Most of the time)
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When we talk, my child... (Select one)
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When we talk....my child shares the pressure, temptations and inner hurts with us they are feeling (Select one)
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If asked, your child would say my parents are... (Select all that apply)
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My child is taking medication for: (Select one)
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