PACT Newborn Evaluation
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1
. My ability to recognize and stop when I am at risk of hariming my child.
Excellent
Good
Fair
Poor
Before reviewing this information I knew:
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My ability to recognize and stop when I am at risk of hariming my child. Before reviewing this information I knew: Excellent
Before reviewing this information I knew: Good
Before reviewing this information I knew: Fair
Before reviewing this information I knew: Poor
After reviewing this information I now know:
After reviewing this information I now know: Excellent
After reviewing this information I now know: Good
After reviewing this information I now know: Fair
After reviewing this information I now know: Poor
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2
. My understanding of ways to prevent child abuse and/or neglect.
Excellent
Good
Fair
Poor
Before reviewing this information I knew:
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My understanding of ways to prevent child abuse and/or neglect. Before reviewing this information I knew: Excellent
Before reviewing this information I knew: Good
Before reviewing this information I knew: Fair
Before reviewing this information I knew: Poor
After reviewing this information I now know:
After reviewing this information I now know: Excellent
After reviewing this information I now know: Good
After reviewing this information I now know: Fair
After reviewing this information I now know: Poor
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3
. My commitment to keeping my child up-to-date on required shots.
Excellent
Good
Fair
Poor
Before reviewoing this information I knew:
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My commitment to keeping my child up-to-date on required shots. Before reviewoing this information I knew: Excellent
Before reviewoing this information I knew: Good
Before reviewoing this information I knew: Fair
Before reviewoing this information I knew: Poor
After reviewing this information I now know:
After reviewing this information I now know: Excellent
After reviewing this information I now know: Good
After reviewing this information I now know: Fair
After reviewing this information I now know: Poor
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4
. My commitment to keeping my child current on well-baby check-ups.
Excellent
Good
Fair
Poor
Before reviewing this information I knew:
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My commitment to keeping my child current on well-baby check-ups. Before reviewing this information I knew: Excellent
Before reviewing this information I knew: Good
Before reviewing this information I knew: Fair
Before reviewing this information I knew: Poor
After reviewing this information I now know:
After reviewing this information I now know: Excellent
After reviewing this information I now know: Good
After reviewing this information I now know: Fair
After reviewing this information I now know: Poor
5
. My knowledge of nurturing behaviors.
Excellent
Good
Fair
Poor
Before reviewing this information I knew:
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My knowledge of nurturing behaviors. Before reviewing this information I knew: Excellent
Before reviewing this information I knew: Good
Before reviewing this information I knew: Fair
Before reviewing this information I knew: Poor
After reviewing this information I now know:
After reviewing this information I now know: Excellent
After reviewing this information I now know: Good
After reviewing this information I now know: Fair
After reviewing this information I now know: Poor
6
. Additional Comments:
Additional Comments:
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