Date of Interview
Fecha de la entrevista:
Location of Interview - 00000001
En el hogar
Location of Interview - 2
En otra casa
Location of Interview - 3
En la escuela
Location of Interview - 4
En un lugar público
Lugar donde se realizó la entrevista:
Masculino
Child Gender - 00000001
Male
Child Gender - 2
Female
Femenino
Name of the child
Parent Gender - 00000001
Male
Parent Gender - 2
Female
Masculino
Femenino
Parent Name
Target Child - 1
1
Target Child - 2
2
Target Child - 3
3
Target Child - 4
4
Niño destinatario
Infant Toddler Sibling
Spanish Inventory
El mapa familiar del niño/de la niña desde su nacimiento hasta los 3 años de edad
Edad del hijo/de la hija:
First Digit of Child Age in Month
Meses
child age - 1
1 mes o menos
child age - 2
2-6 meses
child age - 3
7-12 meses
child age - 4
13-18 meses
child age - 5
19-24 meses
child age - 6
25-30 meses
child age - 7
31-36 meses
child age - 8
37 meses o más
What do you consider your child's race - q1a_1
Blanco(a)
What do you consider your child's race - q1a_2
Indígena Americano o Indígena de Alaska
What do you consider your child's race - q1a_3
Asiático(a)
What do you consider your child's race - q1a_4
Negro(a)
What do you consider your child's race - q1a_5
Indígena de Hawaii o de otra isla del Pacífico
What do you consider your child's race - q1a_6
De otra raza
b) ¿Considera a su hijo(a) latino(a) o hispano(a)?
Do you consider your child to be Hispanic or Latino - 1
Sí
Do you consider your child to be Hispanic or Latino - 0
No
1. a) ¿De qué raza su hijo considera usted?
Indique todas las opciones que le correspondan.
Other - Race Identified
3. ¿Qué parentesco tiene con este niño / con esta niña?
Your relationship to child - 1
Padre o madre biológico(a)
Your relationship to child - 2
Padre o madre de acogida
Your relationship to child - 3
Compañero(a) de vida del padre o de la madre
Your relationship to child - 4
Otro familiar
Your relationship to child - 5
Padrastro o Madrastra
Your relationship to child - 6
Padre o madre adoptivo(a)
Your relationship to child - 7
Abuelo(a)
Your relationship to child - 8
Otra persona:
Other - Raltionship to Child
Padre o madre de familia/Tutor(a) legal:
Nombre del hijo/de la hija:
Code of the interviewer
Entrevista realizada por:
AgenCode
Código de agencia:
state
Ubicación:
region
Región:
CenCode
Colegio:
ClassCode
Clase:
Sent - 1
Sent - 0
isSaved - 1
isSaved - 0
Parent ID
Parent ID
(Use '00000' for test records)
www.thefamilymap.org
version 5.4
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
Infant Toddler Sibling
Spanish Inventory
Parent ID
Parent ID
www.thefamilymap.org
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
S9. A continuación queremos platicar sobre el otro padre o madre de familia de su hijo(a), ya sea que viva con usted o no.
Nombre
¿Qué parentesco tiene con su hijo(a)?
¿Cuánto tiempo han vivido en la misma casa?
¿Cuál fue su último año de estudios?
(que haya terminado)
¿Está inscrito(a) en alguna escuela actualmente?
¿Cuántas horas trabajadas le pagan actualmente?
name of parental figure outside the home
Padre o Madre de familia que vive fuera del hogar
name of parental figure in the home
Padre o Madre de familia que vive en el hogar
time lived together - 1
time lived together - 2
time lived together - 3
Un año o menos
De 2 a 3 años
De 4 años en adelante
relationship to child - 1
relationship to child - 2
relationship to child - 3
Padre o madre biológico(a)
Padrastro o Madrastra, Padre o Madre de Crianza, Padre o Madre Adoptivo(a)
Su compañero(a)
Relationship to child - 1
Relationship to child - 2
Relationship to child - 3
Padre o madre biológico(a)
Padrastro o Madrastra, Padre o Madre de Crianza, Padre o Madre Adoptivo(a)
Su compañero(a)
Si actualmente
no
se encuentra inscrito(a) en una escuela secundaria y si
no ha tenido
otros estudios:
Considere
la educación
como una meta.
Universidad
Instituto Técnico
Diploma de Preparatoria /GED
No termine la Preparatoria
education level - 1
education level - 2
education level - 3
education level - 4
Universidad
Instituto Técnico
Tengo título de secundaria/ GED
No
current enrollment status - 1
current enrollment status - 2
current enrollment status - 3
current enrollment status - 4
hours working per week - 1
hours working per week - 2
hours working per week - 3
hours working per week - 4
50 horas o más
Entre 20 y 50 horas
20 horas o menos
Entre 0 y 10 horas
education level - 1
education level - 2
education level - 3
education level - 4
No termine la Preparatoria
Diploma de Preparatoria /GED
Instituto Técnico
Universidad
current enrollment status - 1
current enrollment status - 2
current enrollment status - 3
current enrollment status - 4
Universidad
Instituto Técnico
Tengo título de secundaria/ GED
No
hours worked per week - 1
hours worked per week - 2
hours worked per week - 3
hours worked per week - 4
50 horas o más
Entre 20 y 50 horas
20 horas o menos
Entre 0 y 10 horas
Infant Toddler Sibling
Spanish Inventory
Parent ID
Parent ID
www.thefamilymap.org
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
R4.
Durante
el año pasado
, ¿cuántas veces se ha cambiado de casa su niño(a)?
R7.
Durante
el mes pasado
, ¿cuántas veces pasó su hijo(a) la noche en otro lugar?
In the past year how many times has your child moved residences? - 0
0
In the past year how many times has your child moved residences? - 1
1
In the past year how many times has your child moved residences? - 2
2
In the past year how many times has your child moved residences? - 3
3
In the past year how many times has your child moved residences? - 4
Más
In the past month, how many times did your child spend the night someplace else? - 0
0
In the past month, how many times did your child spend the night someplace else? - 1
1
In the past month, how many times did your child spend the night someplace else? - 2
2
In the past month, how many times did your child spend the night someplace else? - 3
Más
Si fueron más de 3
How many different places did they spend the night someplace else? - 1
1
How many different places did they spend the night someplace else? - 2
2
How many different places did they spend the night someplace else? - 3
Más
El tener una rutina diaria y una casa organizada puede ayudar a las personas de muchas maneras. Las siguientes preguntas tienen que ver con lo que ha sucedido la semana pasada.
Si la semana pasada no fue muy normal (por ejemplo si salió de viaje), pregunte sobre
la semana antepasada
. Si la persona no tiene una rutina relacionada con uno de los siguientes puntos, entonces marque la columna que dice Ningún día.
Ningún día
1
día
2 días
3 días
4 días
5 días
6 días
7 días
R8.
En cuanto a
los últimos 7 días
, cuántos días su hijo(a) o si niño menos de 6 meses usted:
a)
¿se cepilló los dientes aproximadamente a la misma hora?
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 0
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 1
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 2
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 3
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 4
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 5
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 6
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 7
Si
alguna
respuestas se encuentra en el área sombreada: Considere
la vivienda
como una meta.
Si
2 o más
respuestas se encuentran en el área sombreada:
Considere
el establecer una rutina diaria
como una meta.
RUTINAS
SECCIÓN No. 2
b)
¿se bañó o lo bañaron aproximadamente a la misma hora?
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 0
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 1
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 2
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 3
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 4
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 5
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 6
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 7
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 0
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 1
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 2
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 3
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 4
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 5
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 6
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 7
c)
¿se acostó o lo acostaron aproximadamente a la misma hora?
d)
¿mantuvo una rutina regular en la mañana?
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 0
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 1
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 2
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 3
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 4
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 5
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 6
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 7
¿En cuántos lugares diferentes pasó la noche?
a)
Infant Toddler Sibling
Spanish Inventory
Parent ID
Parent ID
www.thefamilymap.org
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
R10.
¿Qué tan a menudo
se encuentra su hijo(a) en la habitación
mientras se están viendo los siguientes tipos de programas de televisión:
Muestre la tarjeta con los ejemplos de los programas
a)
Películas clasificadas
G
(Audiencia General o todo público) o programas de televisión clasificados Y (para la juventud)
b)
Películas clasificadas
PG
(Programas que necesitan la guía del padre o madre o programas de televisión clasificados Y-7
c)
Películas clasificadas
PG-13
/ programas de televisión clasificados 14
d)
Películas clasificadas
R
(Restringidas, o programas de televisión para adultos)
G or Y rated TV Programs or Movies - how often do you watch with your child in the room? - 0
G or Y rated TV Programs or Movies - how often do you watch with your child in the room? - 1
G or Y rated TV Programs or Movies - how often do you watch with your child in the room? - 2
G or Y rated TV Programs or Movies - how often do you watch with your child in the room? - 3
Nunca
1 vez al mes
De 1 a 2 veces a la semana
3 o más veces a la semana
PG or Y-7 rated TV Programs or Movies - how often do you watch with your child in the room? - 0
PG or Y-7 rated TV Programs or Movies - how often do you watch with your child in the room? - 1
PG or Y-7 rated TV Programs or Movies - how often do you watch with your child in the room? - 2
PG or Y-7 rated TV Programs or Movies - how often do you watch with your child in the room? - 3
PG-13 or Y-14 rated TV Programs or Movies - how often do you watch with your child in the room? - 0
PG-13 or Y-14 rated TV Programs or Movies - how often do you watch with your child in the room? - 1
PG-13 or Y-14 rated TV Programs or Movies - how often do you watch with your child in the room? - 2
PG-13 or Y-14 rated TV Programs or Movies - how often do you watch with your child in the room? - 3
R or Mature Audience rated TV Programs or Movies - how often do you watch with your child in the room? - 0
R or Mature Audience rated TV Programs or Movies - how often do you watch with your child in the room? - 1
R or Mature Audience rated TV Programs or Movies - how often do you watch with your child in the room? - 2
R or Mature Audience rated TV Programs or Movies - how often do you watch with your child in the room? - 3
R11.
¿Cuántas horas
está encendida
la televisión en la casa durante un día normal de
la semana de trabajo aunque nadie la esté viendo
?
R12.
Durante un día de
la semana de trabajo
, ¿cuántas horas ve televisión su hijo(a) o cuántas horas juega con los juegos de video o juegos de computadoras?
Uno de los problemas comunes de los niños y los adultos es el no dormir lo suficiente. Sumemos el número de horas que su niño duerme cada día.
R9.
Pensando en el día de
ayer
,
a)
¿A qué horas se durmió su niño/a?
¿A qué horas se despertó?
b)
¿Cuántas horas durmió su hijo(a) durante la siesta?
Los maestros pueden dar información sobre las siestas y preguntar sobre los fines de semana si es necesario.
Número total de horas dormidas
8 horas o menos
De 9 a 10 horas
De 11 a 12 horas
13 horas
14
horas
15 horas
16
horas
Add # of hours child slept to # of hours of nap time
R9_hours - 1
R9_hours - 2
R9_hours - 3
R9_hours - 4
R9_hours - 5
R9_hours - 6
R9_hours - 7
R9_hours - 8
R9_total
Un hogar muy activo
Un hogar no muy organizado
Un hogar demasiado lleno de gente que viven en un espacio pequeño
Un hogar muy calmado
Un hogar muy organizado
Un hogar que no está demasiado lleno de gente
How active or calm is your home? - 1
1
How active or calm is your home? - 2
2
How active or calm is your home? - 3
3
How active or calm is your home? - 4
4
How well organized or disorganized is your home? - 1
1
How well organized or disorganized is your home? - 2
2
How well organized or disorganized is your home? - 3
3
How well organized or disorganized is your home? - 4
4
How crowded or uncrowded is your home with people living there or staying over? - 1
1
How crowded or uncrowded is your home with people living there or staying over? - 2
2
How crowded or uncrowded is your home with people living there or staying over? - 3
3
How crowded or uncrowded is your home with people living there or staying over? - 4
4
HrsSleep
How many hours did your child nap?
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 0
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 1
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 2
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 3
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 4
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 5
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 6
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 7
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 8
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 9
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 10
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 11
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 12
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 0
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 1
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 2
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 3
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 4
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 5
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 7
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 6
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 8
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 9
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 10
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 11
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 12
De 8 a
9 horas
Más de 10 horas
De 9 a
10 horas
De 7 a
8 horas
De 6 a
7 horas
De 5 a
6 horas
De 4 a
5 horas
De 3 a
4 horas
De 2 a
3 horas
De 1 a
2 horas
De ½ a
1 hora
Menos de ½ hora
Ninguna hora
calculate
Calcular
17 horas o más tiempo
Hours - what time did your child go to sleep?
Hora
Minutes - what time did your child go to sleep?
Minuto
AM or PM - what time did your child go to sleep? - AM
AM
AM or PM - what time did your child go to sleep? - PM
PM
:
Hours - what time did your child wake up?
Hora
Minutes - what time did your child wake up?
Minuto
AM or PM - what time did your child wake up? - AM
AM
AM or PM - what time did your child wake up? - PM
PM
Si
el
total
de horas es
menos de
15 (<6 meses), 14 (6 -12 meses), 13 (13 - 24 meses), 12 (25 - 36 meses): Considere
el establecer una rutina para dormir
,
como una meta.
Utilice la tarjeta de clasificación de los programas de televisión
Si
alguna
respuesta se encuentra en el área sombreada:
Considere
el cambio a la rutina de ver television/ tiempo que se pasa en frente de la pantalla
como una meta.
De 8 a
9 horas
Más de 10 horas
De 9 a
10 horas
De 7 a
8 horas
De 6 a
7 horas
De 5 a
6 horas
De 4 a
5 horas
De 3 a
4 horas
De 2 a
3 horas
De 1 a
2 horas
De ½ a
1 hora
Menos de ½ hora
Ninguna hora
Si el
total
de las respuestas a las preguntas R11 y R12 es
más de
4 horas:
Considere
el cambio a la rutina de ver television/ tiempo que se pasa en frente de la pantalla
como una meta.
Si
2 o más
de las respuestas se encuentran en el área sombreada:
Considere
la organización del hogar
como una meta.
Infant Toddler Sibling
Spanish Inventory
Parent ID
Parent ID
www.thefamilymap.org
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
Aún cuando son bebés pueden aprender con objetos que pueden oír, ver y tocar. Recuerde que los juguetes pueden ser de los que venden en las tiendas, de los hechos a mano o de los que se utilizan para otras cosas como las ollas y cacerolas. ¿Cuántas cosas de las que se indican en la lista tiene usted en casa, con las cuales su hijo(a) puede jugar cuando quiere?
L1.
¿Tiene cosas que ellos:
Indique cuántas cosas tiene que se ocupen para una actividad/juego, por ejemplo: el papel para dibujar y las crayones equivalen a un solo juego/actividad. El tener 3 peluches equivale a un solo juego/actividad.
0
1
2
3 o mas
a)
¿ Puede sentir y acariciar como por ejemplo un animal de peluche, tela suave, o jugar con alfombras que tengan textura?
Do you have things that your child (less than 12 months) can use their muscles with - ball, crib gym, jumpr rope or swing? - 0
Do you have things that your child (less than 12 months) can use their muscles with - ball, crib gym, jumpr rope or swing? - 1
Do you have things that your child (less than 12 months) can use their muscles with - ball, crib gym, jumpr rope or swing? - 2
Do you have things that your child (less than 12 months) can use their muscles with - ball, crib gym, jumpr rope or swing? - 3
c)
¿puede tocar y abrazar un juguete de peluche, una tela suave, o jugar con alfombras que tengan textura?
Do you have things that your child (less than 12 months) can feel or cuddle - stuffed animal, soft cloth, play mat with textures? - 0
Do you have things that your child (less than 12 months) can feel or cuddle - stuffed animal, soft cloth, play mat with textures? - 1
Do you have things that your child (less than 12 months) can feel or cuddle - stuffed animal, soft cloth, play mat with textures? - 2
Do you have things that your child (less than 12 months) can feel or cuddle - stuffed animal, soft cloth, play mat with textures? - 3
b)
¿puede hacer ruido con objetos tales como una sonaja, algo que de vueltas, vibre o haga ruidos como zumbidos?
Do you have things that your child (less than 12 months) can make noise with - rattle, spin, jitter, whir? - 0
Do you have things that your child (less than 12 months) can make noise with - rattle, spin, jitter, whir? - 1
Do you have things that your child (less than 12 months) can make noise with - rattle, spin, jitter, whir? - 2
Do you have things that your child (less than 12 months) can make noise with - rattle, spin, jitter, whir? - 3
a)
¿puede ver como un espejo en la cuna, un adorno móvil o una lamparita que proyecta una luz en el cielo de la habitación?
Do you have things that your child (less than 12 months) can see - mirror in the crib, mobile, night light that projects light onto ceiling? - 0
Do you have things that your child (less than 12 months) can see - mirror in the crib, mobile, night light that projects light onto ceiling? - 1
Do you have things that your child (less than 12 months) can see - mirror in the crib, mobile, night light that projects light onto ceiling? - 2
Do you have things that your child (less than 12 months) can see - mirror in the crib, mobile, night light that projects light onto ceiling? - 3
0
De
1 a 2
De
3 a 9
De 10 o más
A muchas personas les gusta leer y es importante que los niños sean expuestos a los libros y a la lectura a temprana edad.
Do you have a library card? - 1
Sí
Do you have a library card? - 0
No
L2.
¿Cuántos libros infantiles tiene su hijo(a) que sean de él/de ella o que comparta con sus hermanos o hermanas?
How many children's books does your child have of his or her own or share with brothers or sisters? - 0
How many children's books does your child have of his or her own or share with brothers or sisters? - 1
How many children's books does your child have of his or her own or share with brothers or sisters? - 2
How many children's books does your child have of his or her own or share with brothers or sisters? - 3
L4.
Durante el mes pasado, ¿ha ido a la biblioteca pública?
In the past month, have you visited the library? - 1
Sí
In the past month, have you visited the library? - 0
No
L3.
¿Tiene una tarjeta de la biblioteca?
L5.
Durante
la semana pasada
, ¿cuántas veces le leyeron o le mostraron un libro a su hijo(a) las siguientes personas?
(no incluya los datos de cuando el niño/la niña haya estado en la guardería)
d)
¿puede ocupar sus músculos con una pelota, haciendo ejercicios dentro de la cuna o un columpio que se cuelga de las puertas?
Do you have things that your child (more than 12 months) can feel or cuddle - stuffed animal, soft cloth, play mat with textures? - 0
Do you have things that your child (more than 12 months) can feel or cuddle - stuffed animal, soft cloth, play mat with textures? - 1
Do you have things that your child (more than 12 months) can feel or cuddle - stuffed animal, soft cloth, play mat with textures? - 2
Do you have things that your child (more than 12 months) can feel or cuddle - stuffed animal, soft cloth, play mat with textures? - 3
Do you have things that your child (more than 12 months) can use their muscles with - ball, crib gym, jumpr rope or swing? - 0
Do you have things that your child (more than 12 months) can use their muscles with - ball, crib gym, jumpr rope or swing? - 1
Do you have things that your child (more than 12 months) can use their muscles with - ball, crib gym, jumpr rope or swing? - 2
Do you have things that your child (more than 12 months) can use their muscles with - ball, crib gym, jumpr rope or swing? - 3
b)
¿ Puede usar sus músculos como con una pelota, gimnasio de cuna, o un columpio que se cuelga de las puertas?
0
1
2
3 o mas
Do you have things that your child (more than 12 months) can put together - legos, pans with lids, stacking rings, or nesting blocks? - 0
Do you have things that your child (more than 12 months) can put together - legos, pans with lids, stacking rings, or nesting blocks? - 1
Do you have things that your child (more than 12 months) can put together - legos, pans with lids, stacking rings, or nesting blocks? - 2
Do you have things that your child (more than 12 months) can put together - legos, pans with lids, stacking rings, or nesting blocks? - 3
c)
¿puede colocar en diferentes maneras legos, ollas con tapaderas, anillos que se apilan o bloques que se colocan uno dentro del otro?
Do you have things that your child (more than 12 months) can make art or be creative with - crayons, markers, chalk or play dough? - 0
Do you have things that your child (more than 12 months) can make art or be creative with - crayons, markers, chalk or play dough? - 1
Do you have things that your child (more than 12 months) can make art or be creative with - crayons, markers, chalk or play dough? - 2
Do you have things that your child (more than 12 months) can make art or be creative with - crayons, markers, chalk or play dough? - 3
d)
¿puede crear arte o ser creativo(a) con crayones, marcadores, yeso o plastilina?
Do you have things that your child (more than 12 months) can play or make music with - instruments or music player? - 0
Do you have things that your child (more than 12 months) can play or make music with - instruments or music player? - 1
Do you have things that your child (more than 12 months) can play or make music with - instruments or music player? - 2
Do you have things that your child (more than 12 months) can play or make music with - instruments or music player? - 3
e)
¿puede tocar o crear música con instrumentos musicales de juguete o con un reproductor de música?
NoZone_2_4
Complete esto
NoZone_2_2_2
para niños mayores
NoZone_2_3_2
de 12 meses
NoZone_2
Complete esta sección
NoZone_2_2
si su hijo(a) tiene menos
NoZone_2_3
de 1 año de edad
PREPARACIÓN PARA LA ESCUELA
SECCIÓN No. 3
a)
Mamá o persona que es como la mamá
b)
Papá o persona que es como el papá
c)
Otra persona
In the past week, how many times did anyone else read or look at a book with your child? - 0
In the past week, how many times did anyone else read or look at a book with your child? - 1
In the past week, how many times did anyone else read or look at a book with your child? - 2
In the past week, how many times did anyone else read or look at a book with your child? - 3
In the past week, how many times did father/figure read or look at a book with your child? - 0
In the past week, how many times did father/figure read or look at a book with your child? - 1
In the past week, how many times did father/figure read or look at a book with your child? - 2
In the past week, how many times did father/figure read or look at a book with your child? - 3
In the past week, how many times did mother/figure read or look at a book with your child? - 0
In the past week, how many times did mother/figure read or look at a book with your child? - 1
In the past week, how many times did mother/figure read or look at a book with your child? - 2
In the past week, how many times did mother/figure read or look at a book with your child? - 3
No tengo la información
o Ninguna vez
De 1 a 2 veces a la semana
De 3 a 5 veces a la semana
6 veces a la semana o más veces
Si
alguna
respuesta se encuentra en el área sombreada:
Considere
aprender de Material Didáctico
como una meta.
Si
todas las
respuestas se encuentran en las áreas sombreadas:
Considere
los materiales de lectura
como uno meta.
Si todas las
respuestas se encuentran en el area sombreada: Considere el
alfabetismo
como una meta.
Infant Toddler Sibling
Spanish Inventory
Parent ID
Parent ID
www.thefamilymap.org
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
L6.
a)
Jugó con su hijo(a) picabú (un juego que consiste en esconderse y reaparecer para hacer reír a un bebé), o a las palmaditas,(como haciendo tortillitas con las manos)?
b)
Jugó con su hijo(a) con juguetes o juegos?
c)
Habló con su hijo(a) mientras usted estaba haciendo los quehaceres normales?
d)
Le dijo a su hijo(a) el nombre de las cosas, de los lugares o de las personas?
e)
Jugó con su hijo(a) persiguiéndolo o bailando?
L7.
El padre o madre de familia puede ayudar a sus hijos a estar listos para la escuela. Durante
la semana pasada
, cuántas veces
usted o alguien más de su familia
utilizó los juegos, juguetes, libros u otros objetos:
a)
¿Para contar las cosas con su hijo(a)? (“¡Mira, tienes dos dientes!”)
b)
¿Para cantar la canción del alfabeto o para señalar las letras o las palabras?
c)
¿Para señalar y decir los colores? (“Te pongo tu zapato rojo.”)
d)
¿Para señalar y nombrar la forma de las cosas? (“Mira la pelota redonda.”)
L8.
Durante
el último mes
, ha hecho
usted o alguien de su familia
alguna de estas cosas con su niño/niña:
No
Sí
In the past month, have you or someone in your family taken your child on an outing such as shopping? - 0
In the past month, have you or someone in your family taken your child on an outing such as shopping? - 1
a)
¿Ha llevado a su niño/niña a un paseo como el ir de compras?
Seguidamente, queremos preguntarle acerca de algunas cosas que los padres de familia hacen con sus hijos pequeños para divertirse fuera de casa.
In the past month, have you or someone in your family taken your child for a walk or to a local park? - 0
In the past month, have you or someone in your family taken your child for a walk or to a local park? - 1
In the past month, have you or someone in your family taken your child to go visit a friend or relative? - 0
In the past month, have you or someone in your family taken your child to go visit a friend or relative? - 1
b)
¿Ha ido a caminar o a un parque local?
c)
¿Ha ido a visitar a un amigo o a un familiar?
L9.
Durante
el año pasado
, ha hecho
usted o alguien de su familia
alguna de estas cosas con su niño(a):
No
Sí
In the past year, have you or someone in your family taken your child to a play, concert or other live show? - 0
In the past year, have you or someone in your family taken your child to a play, concert or other live show? - 1
a)
¿Ha ido a una obra de teatro, concierto u otro evento en vivo?
In the past year, have you or someone in your family taken your child to visit the zoo? - 0
In the past year, have you or someone in your family taken your child to visit the zoo? - 1
In the past year, have you or someone in your family taken your child to visit the an art gallery, museum, or historical site? - 0
In the past year, have you or someone in your family taken your child to visit the an art gallery, museum, or historical site? - 1
b)
¿Ha visitado un zoológico o a un acuario?
d)
¿Ha asistido a un evento comunitario como una feria, festival, desfile o fiesta del vecindario?
c)
¿Ha visitado una galería de arte, museo o sitio histórico?
In the past year, have you or someone in your family taken your child to attend a community event like a fair, festival, parade or block party? - 0
In the past year, have you or someone in your family taken your child to attend a community event like a fair, festival, parade or block party? - 1
El jugar es una manera maravillosa para que aprenden los niños.
En la
última semana
, ¿cuántas veces hicieron lo siguiente ya sea usted
o alguien de la familia
?
Ninguna vez
De 1 a 2 veces a la semana
De 3 a 5 veces a la semana
6 veces a la semana o más
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - count things with your child? - 0
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - count things with your child? - 1
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - count things with your child? - 2
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - count things with your child? - 3
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - sing the alphabet song or point out letters or words? - 0
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - sing the alphabet song or point out letters or words? - 1
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - sing the alphabet song or point out letters or words? - 2
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - sing the alphabet song or point out letters or words? - 3
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name colors? - 0
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name colors? - 1
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name colors? - 2
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name colors? - 3
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name shapes? - 0
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name shapes? - 1
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name shapes? - 2
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name shapes? - 3
In the past week, how many times did you or someone in your family - play chase or dancing games with child? - 0
In the past week, how many times did you or someone in your family - play chase or dancing games with child? - 1
In the past week, how many times did you or someone in your family - play chase or dancing games with child? - 2
In the past week, how many times did you or someone in your family - play chase or dancing games with child? - 3
In the past week, how many times did you or someone in your family - tell your child the name of things, places or people? - 0
In the past week, how many times did you or someone in your family - tell your child the name of things, places or people? - 1
In the past week, how many times did you or someone in your family - tell your child the name of things, places or people? - 2
In the past week, how many times did you or someone in your family - tell your child the name of things, places or people? - 3
In the past week, how many times did you or someone in your family - talk to your child while doing ordinary household chores? - 0
In the past week, how many times did you or someone in your family - talk to your child while doing ordinary household chores? - 1
In the past week, how many times did you or someone in your family - talk to your child while doing ordinary household chores? - 2
In the past week, how many times did you or someone in your family - talk to your child while doing ordinary household chores? - 3
In the past week, how many times did you or someone in your family - play with toys or games with your child? - 0
In the past week, how many times did you or someone in your family - play with toys or games with your child? - 1
In the past week, how many times did you or someone in your family - play with toys or games with your child? - 2
In the past week, how many times did you or someone in your family - play with toys or games with your child? - 3
In the past week, how many times did you or someone in your family - play games like peek-a-boo or patty cake with your child? - 0
In the past week, how many times did you or someone in your family - play games like peek-a-boo or patty cake with your child? - 1
In the past week, how many times did you or someone in your family - play games like peek-a-boo or patty cake with your child? - 2
In the past week, how many times did you or someone in your family - play games like peek-a-boo or patty cake with your child? - 3
Ninguna vez
De 1 a 2 veces a la semana
De 3 a 5 veces a la semana
6 veces a la semana o más
Si
3 o más
respuestas se encuentran en el área sombreada:
Considere
las actividades educativas
como uno meta.
Si
2 o más
respuestas se encuentran en el área sombreada:
Considere
las actividades educativas
como uno meta.
Si
6 o más
de las respuestas se encuentran en el área sombreada:
Considere
las experiencias para el aprendizaje
como una meta.
Infant Toddler Sibling
Spanish Inventory
Parent ID
Parent ID
www.thefamilymap.org
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
Bebes y niños pueden ser mucho trabajo, y tratando de hacer más de una cosa al mismo tiempo puede ser difícil. Las próximas preguntas tienen que ver con las cosas que usted permite que su hijo(a) haga en la habitación o patio aunque
no esté acompañándole a él/ella ningún adulto ni otro niño(a) que tenga más de 12 años
.
M1.
Cuál es el mayor tiempo que usted permite que su hijo(a):
Nunca
5 minutos o menos
De 5 a 10 minutos
De 10 a 30 minutos
What is the longest amount of time you would allow your child to be asleep in the house while you are outside? - 0
What is the longest amount of time you would allow your child to be asleep in the house while you are outside? - 1
What is the longest amount of time you would allow your child to be asleep in the house while you are outside? - 2
What is the longest amount of time you would allow your child to be asleep in the house while you are outside? - 3
What is the longest amount of time you would allow your child to be asleep in the house while you are outside? - 4
30 minutos
o más tiempo
What is the longest amount of time you would allow your child to be in the bathtub without you in the room? - 0
What is the longest amount of time you would allow your child to be in the bathtub without you in the room? - 1
What is the longest amount of time you would allow your child to be in the bathtub without you in the room? - 2
What is the longest amount of time you would allow your child to be in the bathtub without you in the room? - 3
What is the longest amount of time you would allow your child to be in the bathtub without you in the room? - 4
What is the longest amount of time you would allow your child to be awake in the room when you are not in the room? - 0
What is the longest amount of time you would allow your child to be awake in the room when you are not in the room? - 1
What is the longest amount of time you would allow your child to be awake in the room when you are not in the room? - 2
What is the longest amount of time you would allow your child to be awake in the room when you are not in the room? - 3
What is the longest amount of time you would allow your child to be awake in the room when you are not in the room? - 4
Durante
el mes pasado
, piense en todas las personas con quienes estuvo su hijo(a) mientras usted estaba fuera, aún durante cortos períodos de tiempo. Asegúrese de incluir [los períodos] durante los cuales se encuentraba en el trabajo, la escuela o cuando haciendo mandados en corto tiempo y cuando su hijo(a) fue transportado en un vehículo con alguien más.
M2.
Durante
el mes pasado
, ¿con cuántas personas se quedó su hijo(a)?
How many people did your child stay with in the past month? - 0
How many people did your child stay with in the past month? - 1
How many people did your child stay with in the past month? - 2
How many people did your child stay with in the past month? - 3
How many people did your child stay with in the past month? - 4
How many people did your child stay with in the past month? - 5
How many people did your child stay with in the past month? - 6
Ninguna vez
De 1 a 2 veces
De 3 a 4 veces
De 10 veces en adelante
De 5 a 6 veces
De 7 a 8 veces
9 veces
NoZone
Si 0 salte al M3:
How many people did your child stay with in the past month - were any of these under 13 years of age? - 0
How many people did your child stay with in the past month - were any of these under 13 years of age? - 1
a)
¿Alguna de estas personas tenía menos de 13 años de edad?
How many people did your child stay with in the past month - were any of these poeple you have known less than one month? - 0
How many people did your child stay with in the past month - were any of these poeple you have known less than one month? - 1
b)
¿Ha conocido a cualquiera de estas personas por menos de un mes?
M3.
Durante el mes pasado, tuvo algún problema para hallar a alguien que le cuidara a sus hijos cuando estuvieron enfermos o cuando no pudieron ir con la persona que normalmente los cuida o porque necesitaba que se los cuidaran después del horario normal?
In the past month, did you have problems finding care for any of your children when they were sick and couldn't go to their regular care or for hours outside of their regular care? - 0
In the past month, did you have problems finding care for any of your children when they were sick and couldn't go to their regular care or for hours outside of their regular care? - 1
M4.
Durante el último mes, tuvo algún problema para hallar a alguien que le cuidara a cualquiera de sus hijos – durante el día o durante la noche?
In the past month, did you have problems finding care for any of your children, day or night? - 0
In the past month, did you have problems finding care for any of your children, day or night? - 1
a)
¿Se duerma en la casa mientras usted se encuentra afuera?
b)
¿Esté en la tina aunque usted no se encuentre en la habitación?
c)
¿Esté despierto(a) en la habitación cuando usted no se encuentre en ella?
d)
¿Esté afuera cuando usted se encuentre adentro?
What is the longest amount of time you would allow your child to be outside when you are inside? - 0
What is the longest amount of time you would allow your child to be outside when you are inside? - 1
What is the longest amount of time you would allow your child to be outside when you are inside? - 2
What is the longest amount of time you would allow your child to be outside when you are inside? - 3
What is the longest amount of time you would allow your child to be outside when you are inside? - 4
MONITOREO
SECCIÓN No. 4
No
Sí
No
Sí
Si
alguna
respuestas se encuentra en el área sombreada:
Considere
el monitoreo de las estrategias
como una meta familiar.
Si
alguna
respuesta se encuentra en el área sombreada:
Considere
el cuidado de los niños
como una meta familiar.
Infant Toddler Sibling
Spanish Inventory
Parent ID
Parent ID
www.thefamilymap.org
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
Nunca
Una vez
Dos veces
Tres veces
E5.
Durante el último año
, al pensar en las personas que viven en su casa o en su vecindario, cuántas veces:
In the past year, how many times has your child been physically hurt by someone for example hit, kciked, punched or spanked in a way that left marks by somone in your home or neighborhood? - 0
In the past year, how many times has your child been physically hurt by someone for example hit, kciked, punched or spanked in a way that left marks by somone in your home or neighborhood? - 1
In the past year, how many times has your child been physically hurt by someone for example hit, kciked, punched or spanked in a way that left marks by somone in your home or neighborhood? - 2
In the past year, how many times has your child been physically hurt by someone for example hit, kciked, punched or spanked in a way that left marks by somone in your home or neighborhood? - 3
In the past year, how many times has your child been physically hurt by someone for example hit, kciked, punched or spanked in a way that left marks by somone in your home or neighborhood? - 4
Más de 3 veces
a)
¿ha lastimado alguien físicamente
a su hijo(a)
, por ejemplo, a golpes, patadas, puñetazos o palmadas de tal manera que le ha dejado marcas?
b)
¿ha lastimado alguien físicamente
a usted o a alguien que vive en su hogar
?
In the past year, how many times have you or someone living in your home been physically hurt by someone? - 0
In the past year, how many times have you or someone living in your home been physically hurt by someone? - 1
In the past year, how many times have you or someone living in your home been physically hurt by someone? - 2
In the past year, how many times have you or someone living in your home been physically hurt by someone? - 3
In the past year, how many times have you or someone living in your home been physically hurt by someone? - 4
c)
¿ha visto
su hijo(a)
a alguien que ha tratado de lastimar físicamente a otra persona?
In the past year, has your child ever seen someone try to physically hurt another person? - 0
In the past year, has your child ever seen someone try to physically hurt another person? - 1
In the past year, has your child ever seen someone try to physically hurt another person? - 2
In the past year, has your child ever seen someone try to physically hurt another person? - 3
In the past year, has your child ever seen someone try to physically hurt another person? - 4
d)
¿ha observado
su hijo(a)
alguna actividad relacionada con las drogas o con el sexo?
In the past year, has your child ever seen someone involved in drug or sexual activities? - 0
In the past year, has your child ever seen someone involved in drug or sexual activities? - 1
In the past year, has your child ever seen someone involved in drug or sexual activities? - 2
In the past year, has your child ever seen someone involved in drug or sexual activities? - 3
In the past year, has your child ever seen someone involved in drug or sexual activities? - 4
LA SEGURIDAD DE SU MEDIO AMBIENTE
SECCIÓN No. 5
Si
alguna
respuestas se encuentra en el área sombreada:
Considere
la seguridad familiar o la consejería
como una meta.
Infant Toddler Sibling
Spanish Inventory
Parent ID
Parent ID
www.thefamilymap.org
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
El criar a los hijos es estresante y desafiante y de vez en cuando,
todos
los padres y madres de familia tienen dificultades en esto. ¿Qué tanto está usted de acuerdo con los siguientes puntos?
No estoy de acuerdo
Estoy de acuerdo
Estoy
completamente de acuerdo
F8.
Durante
el mes pasado
, me he sentido estresado(a) por las obligaciones diarias de criar a los niños.
Completamente en desacuerdo
F9.
Durante
el mes pasado
, me he sentido tan estresado(a) que tuve miedo de que podría llegar a perder el control.
F10.
Me preocupo porque pienso que voy a malcriar a mi hijo(a) al darle demasiada atención o al cargarlo(a) cuando llora.
F11.
Siento que es más difícil cuidar a mi hijo(a) que a la mayoría de los niños de su edad.
F12.
Esperaba sentir más cariño por mi hijo(a) del que tengo y esto me molesta.
F13.
Cuando hago unas cosas para mi hijo(a), siento que no agradece mis esfuerzos.
F14.
A veces el castigo que le doy a mi hijo(a) depende de mi sentido de humor.
How much do you agree - during the past month, I felt stressed out with the day-to-day demands of raising chidlren? - 1
How much do you agree - during the past month, I felt stressed out with the day-to-day demands of raising chidlren? - 2
How much do you agree - during the past month, I felt stressed out with the day-to-day demands of raising chidlren? - 3
How much do you agree - during the past month, I felt stressed out with the day-to-day demands of raising chidlren? - 4
How much do you agree - during the past month, I felt so stressed out that I was afraid I might lose control? - 1
How much do you agree - during the past month, I felt so stressed out that I was afraid I might lose control? - 2
How much do you agree - during the past month, I felt so stressed out that I was afraid I might lose control? - 3
How much do you agree - during the past month, I felt so stressed out that I was afraid I might lose control? - 4
How much do you agree - during the past month, I worry I will spoil my child by giving them too much attention? - 1
How much do you agree - during the past month, I worry I will spoil my child by giving them too much attention? - 2
How much do you agree - during the past month, I worry I will spoil my child by giving them too much attention? - 3
How much do you agree - during the past month, I worry I will spoil my child by giving them too much attention? - 4
How much do you agree - during the past month, I felt that your child was much harder to care for than most children their age? - 1
How much do you agree - during the past month, I felt that your child was much harder to care for than most children their age? - 2
How much do you agree - during the past month, I felt that your child was much harder to care for than most children their age? - 3
How much do you agree - during the past month, I felt that your child was much harder to care for than most children their age? - 4
How much do you agree - during the past month, I expected to have closer or warmer feelings for your child and that bothers you? - 1
How much do you agree - during the past month, I expected to have closer or warmer feelings for your child and that bothers you? - 2
How much do you agree - during the past month, I expected to have closer or warmer feelings for your child and that bothers you? - 3
How much do you agree - during the past month, I expected to have closer or warmer feelings for your child and that bothers you? - 4
How much do you agree - during the past month, I felt unappreciated when I do things for my child. - 1
How much do you agree - during the past month, I felt unappreciated when I do things for my child. - 2
How much do you agree - during the past month, I felt unappreciated when I do things for my child. - 3
How much do you agree - during the past month, I felt unappreciated when I do things for my child. - 4
How much do you agree - during the past month, that sometimes the punishment given to your child depended on your mood. - 1
How much do you agree - during the past month, that sometimes the punishment given to your child depended on your mood. - 2
How much do you agree - during the past month, that sometimes the punishment given to your child depended on your mood. - 3
How much do you agree - during the past month, that sometimes the punishment given to your child depended on your mood. - 4
UNIDAD FAMILIAR
SECCIÓN No. 6
Utilice la tarjeta de respuestas
Si
3 o más
respuestas se encuentran en el área sombreada:
Considere
la educación para los padres y madres de familia
como una meta.
Infant Toddler Sibling
Spanish Inventory
Parent ID
Parent ID
www.thefamilymap.org
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
Cuando su hijo(a) ha hecho algo malo, con qué frecuencia:
D2.
How often in the past week, have you had to punish your child for misbehavior? - 0
How often in the past week, have you had to punish your child for misbehavior? - 1
How often in the past week, have you had to punish your child for misbehavior? - 2
How often in the past week, have you had to punish your child for misbehavior? - 3
How often in the past week, have you had to punish your child for misbehavior? - 4
How often in the past week, have you had to punish your child for misbehavior? - 5
A veces los niños hacen cosas que no deberían hacer.
Durante
la semana pasada
, ¿Con qué frecuencia ha tenido que castigar a su hijo(a)?
D1.
0
1-2
3-4
5-6
7-9
10 o más
When you child has done something wrong, how often do you - use time out - make your child stand or sit in a corner or chair? - 0
When you child has done something wrong, how often do you - use time out - make your child stand or sit in a corner or chair? - 1
When you child has done something wrong, how often do you - use time out - make your child stand or sit in a corner or chair? - 2
When you child has done something wrong, how often do you - use time out - make your child stand or sit in a corner or chair? - 3
When you child has done something wrong, how often do you - use time out - make your child stand or sit in a corner or chair? - 4
¿lo(a) pone en “time-out”; hace que se pare en una esquina o que se siente en una silla?
a)
When you child has done something wrong, how often do you - take away privileges or object/toy for a period of time, restrict access? - 0
When you child has done something wrong, how often do you - take away privileges or object/toy for a period of time, restrict access? - 1
When you child has done something wrong, how often do you - take away privileges or object/toy for a period of time, restrict access? - 2
When you child has done something wrong, how often do you - take away privileges or object/toy for a period of time, restrict access? - 3
When you child has done something wrong, how often do you - take away privileges or object/toy for a period of time, restrict access? - 4
¿no deja que haga algo que le guste o le quita un juguete o algo que le guste, por un período de tiempo? Le quita el acceso a ello?
b)
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 0
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 1
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 2
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 3
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 4
¿le habla sobre algo más, distrae o hace que la atención del niño/de la niña pase a algo más?
c)
When you child has done something wrong, how often do you - discuss the problem - ask questions - teach them? - 0
When you child has done something wrong, how often do you - discuss the problem - ask questions - teach them? - 1
When you child has done something wrong, how often do you - discuss the problem - ask questions - teach them? - 2
When you child has done something wrong, how often do you - discuss the problem - ask questions - teach them? - 3
When you child has done something wrong, how often do you - discuss the problem - ask questions - teach them? - 4
When you child has done something wrong, how often do you - ignore it? - 0
When you child has done something wrong, how often do you - ignore it? - 1
When you child has done something wrong, how often do you - ignore it? - 2
When you child has done something wrong, how often do you - ignore it? - 3
When you child has done something wrong, how often do you - ignore it? - 4
Ocupa un cinturón, palo delgado o cualquier objeto para darle en el trasero.
When you child has done something wrong, how often do you - yell at your child? - 0
When you child has done something wrong, how often do you - yell at your child? - 1
When you child has done something wrong, how often do you - yell at your child? - 2
When you child has done something wrong, how often do you - yell at your child? - 3
When you child has done something wrong, how often do you - yell at your child? - 4
When you child has done something wrong, how often do you - Slap your child's hand? - 0
When you child has done something wrong, how often do you - Slap your child's hand? - 1
When you child has done something wrong, how often do you - Slap your child's hand? - 2
When you child has done something wrong, how often do you - Slap your child's hand? - 3
When you child has done something wrong, how often do you - Slap your child's hand? - 4
When you child has done something wrong, how often do you - spank your child with your hand? - 0
When you child has done something wrong, how often do you - spank your child with your hand? - 1
When you child has done something wrong, how often do you - spank your child with your hand? - 2
When you child has done something wrong, how often do you - spank your child with your hand? - 3
When you child has done something wrong, how often do you - spank your child with your hand? - 4
i)
When you child has done something wrong, how often do you - spank your child with a beld, switch or other object? - 0
When you child has done something wrong, how often do you - spank your child with a beld, switch or other object? - 1
When you child has done something wrong, how often do you - spank your child with a beld, switch or other object? - 2
When you child has done something wrong, how often do you - spank your child with a beld, switch or other object? - 3
When you child has done something wrong, how often do you - spank your child with a beld, switch or other object? - 4
h)
d)
Hablan del problema, hacen preguntas y/o les enseña y orienta.
Le da unas palmadas en el trasero.
LA DISCIPLINA Y LOS CASTIGOS
SECCIÓN No. 7
thefamilymap.org
Copyright 2016 by UAMS, Leanne Whiteside-Mansell
Utilice la tarjeta de respuestas
No le
corresponde
/Nunca
Raras veces
Algunas veces
Frecue- ntemente
Siempre
Si
todas
las respuestas se encuentran en el área sombreada:
Considere
las estrategias para la disciplina y los castigos
como una meta.
No
corresponde
/Nunca
Raras veces
Algunas veces
Frecue- ntemente
Siempre
e)
Lo ignora
f)
Le grita.
g)
Le da una palmada en la mano.
Si
alguna
respuesta se encuentran en el área sombreada:
Considere
las estrategias para la disciplina y los castigos
como una meta.
Infant Toddler Sibling
Spanish Inventory
Parent ID
Parent ID
www.thefamilymap.org
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
A veces es difícil que las familias obtengan la atención médica que necesitan.
La siguiente parte de la entrevista tiene que ver con la salud de su familia.
H2.
¿Tiene su hijo(a) un problema o enfermedad de salud o física que requiera atención médica regular y continua?
Por ejemplo, una discapacidad, una enfermedad mental o problemas de salud crónicos como el asma, alergias severas, infecciones en el oído repetitivas, anemia de células falciformes, parálisis cerebral o ADHD.
Does your child have a health issue or illness that requires ongoing care or medication? - 0
No
Does your child have a health issue or illness that requires ongoing care or medication? - 1
Si
Si su respuesta es No, pase a la pregunta H3.
Apunte la condición médica:
Notate Condition - Details
Determine la necesidad: ¿Comprende qué es lo que el doctor o terapista quiere que usted haga a diario para tratar el problema de salud? ¿Tiene algún plan que el doctor le haya dado? ¿Se siente tranquilo(a) al seguir el plan? ¿Tiene algún problema que le impida seguir y cumplir con el plan?
H4.
¿Tiene usted un doctor que considere como el doctor de su hijo(a)?
No
Sí
Do you have a doctor you consider your child's doctor? - 0
No
Do you have a doctor you consider your child's doctor? - 1
Sí
H6.
H7.
¿Tiene usted un dentista que lo considere como el dentista de su hijo?
H8.
¿Tiene un seguro médico su hijo(a)?
Do you have a dentist you consider to be your child's dentist? - 0
Do you have a dentist you consider to be your child's dentist? - 1
Does your child have health insurance? - 0
Does your child have health insurance? - 1
Can you get health care when your child is sick or injured that is not from a hospital emergency room? - 0
Can you get health care when your child is sick or injured that is not from a hospital emergency room? - 2
Can you get health care when your child is sick or injured that is not from a hospital emergency room? - 1
¿Puede obtener atención médica cuando su hijo(a) está enfermo(a) o cuando se ha lastimado? (que no sea la que se recibe en una sala de emergencia de un hospital).
No
No estoy seguro(a)
Sí
H5.
Las visitas médicas de niño sano son para chequeos y vacunaciones, no son visitas para una enfermedad. Estas visitas son recomendadas para las edades mencionadas abajo. ¿Cuándo fue la última vez que llevó a su hijo/a para una visita de niño sano? Para considerar esto con una meta, compare la última visita a la edad del niño/de la niña.
How old was your child at their last well child visit? - 0
How old was your child at their last well child visit? - 1
How old was your child at their last well child visit? - 2
How old was your child at their last well child visit? - 3
How old was your child at their last well child visit? - 4
How old was your child at their last well child visit? - 5
How old was your child at their last well child visit? - 6
How old was your child at their last well child visit? - 7
How old was your child at their last well child visit? - 8
How old was your child at their last well child visit? - 9
How old was your child at their last well child visit? - 10
3 a 7
días
2 a 4
semanas
2
meses
4
meses
6
meses
9
meses
12
meses
15
meses
18
meses
24 meses
30 meses
Si
alguna
respuesta se encuentran en el área sombreada: Considere
la atención médica
como una meta.
SALUD
SECCIÓN No. 8
Necesita ayuda con el plan
Has a Plan of Action or Needs help with Planning - 1
1
Has a Plan of Action or Needs help with Planning - 2
2
Has a Plan of Action or Needs help with Planning - 3
3
Has a Plan of Action or Needs help with Planning - 4
4
Tiene un plan y lo está cumpliendo
Si
alguna
respuesta se encuentran en el área sombreada:
Considere
la asistencia médica
como una meta.
Infant Toddler Sibling
Spanish Inventory
Parent ID
Parent ID
www.thefamilymap.org
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
B12.
¿Le está dando pecho a su hijo(a)?
Ha platicado con su doctor o enfermera sobre los siguientes peligros que tiene cuando se amamanta a un niño;
No
Sí
¿Los efectos causados por fumar?
a)
¿Los efectos causados las bebidas alcohólicas?
b)
¿Los efectos causados por respirar humo o químicos?
c)
¿Los medicinas bajo receta médica
d)
B13.
¿Toma una mamila/botella su hijo(a)?
No
Sí
¿ Le da a su hijo(a) una mamila/botella con jugo o cereal
a)
¿Le levanta la mamila/botella a su hijo(a) o lo(a) acuesta mientras se toma una mamila/botella?
b)
No
Sí
No sé
¿Le debían la manutención para su hijo(a) y no le fue posible recibir dicho pago?
B5.
In the past year, how many times - were you owed child support and unable to receive it? - 0
In the past year, how many times - were you owed child support and unable to receive it? - 1
In the past year, how many times - were you owed child support and unable to receive it? - 2
Are you currently breastfeeding? - 0
No
Are you currently breastfeeding? - 1
Sí
Does you child use a bottle? - 0
No
Does you child use a bottle? - 1
Sí
Si no, pasa B14.
In regards to breastfeeding, have you discussed with your doctor or nurse - the effects of smoking? - 0
In regards to breastfeeding, have you discussed with your doctor or nurse - the effects of smoking? - 1
In regards to breastfeeding, have you discussed with your doctor or nurse - the effects of drinking? - 0
In regards to breastfeeding, have you discussed with your doctor or nurse - the effects of drinking? - 1
In regards to breastfeeding, have you discussed with your doctor or nurse - the effects breathing in fumes or chemicals? - 0
In regards to breastfeeding, have you discussed with your doctor or nurse - the effects breathing in fumes or chemicals? - 1
In regards to breastfeeding, have you discussed with your doctor or nurse - the effects from your current prescriptions? - 0
In regards to breastfeeding, have you discussed with your doctor or nurse - the effects from your current prescriptions? - 1
Do you serve your child juice or cerial in a bottle? - 0
Do you serve your child juice or cerial in a bottle? - 1
Do you prop the bottle for your child or put them to bed with a bottle? - 0
Do you prop the bottle for your child or put them to bed with a bottle? - 1
Si no, pasa B12e.
e)
¿Qué edad tenía su hijo/a cuando dejó de tomar leche maternal?
How old was your child when you stopped breastfeeding? - 1
No amamantó
How old was your child when you stopped breastfeeding? - 2
Hasta los 2 meses
How old was your child when you stopped breastfeeding? - 3
2 a 5 meses
How old was your child when you stopped breastfeeding? - 4
6 meses o más
NECESIDADES BÁSICAS
SECCIÓN No. 9
Si
alguna
respuesta se encuentran en el área sombreada:
Considere
Educación Medica
como
una meta
Infant Toddler Sibling
Spanish Inventory
Parent ID
Parent ID
www.thefamilymap.org
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
B14.
Le ha dado comida solida (comida para bebe o comida para adultos)?
Más de 1 cada día
1 cada día
2 a 6 cada semana
Una vez cada semana
Ninguna
Meta de porciones diarias
1 taza
2 onzas
1/4 taza
1 1/4 tazas
3/4
taza
3/4 taza
Ninguna
a)
Productos lácteos como la leche, el queso, el yogurt
b)
Carne como la carne de res, de pollo, el pescado y huevos
c)
La proteína como los frijoles, guisantes, nueces, mantequilla de maní, hamburguesa vegetariana
d)
Grupo de panes, arroz, pasta, cereales, tortillas
e)
Verduras y vegetales de color verde oscuro o anaranjado y amarillo como las verduras de hojas verdes, zanahorias, brócoli, calabazín, camote –
pero no incluya las papas fritas
f)
Frutas como las manzanas, naranjas, bananos, uvas, melocotones, puré de manzana –
pero no incluya el jugo
g)
Los dulces de azúcar como los pasteles, dulces, o bebidas azucaradas como las sodas, las bebidas deportivas o el jugo y otras bebidas de frutas
About how often does your child eat food from the food group - Formula? - 1
About how often does your child eat food from the food group - Formula? - 2
About how often does your child eat food from the food group - Formula? - 3
About how often does your child eat food from the food group - Formula? - 4
About how often does your child eat food from the food group - Formula? - 5
About how often does your child eat food from the food group - Dairy Products like milk, cheese, yogurt? - 1
About how often does your child eat food from the food group - Dairy Products like milk, cheese, yogurt? - 2
About how often does your child eat food from the food group - Dairy Products like milk, cheese, yogurt? - 3
About how often does your child eat food from the food group - Dairy Products like milk, cheese, yogurt? - 4
About how often does your child eat food from the food group - Dairy Products like milk, cheese, yogurt? - 5
About how often does your child eat food from the food group - Meat like beef, chicken, fish, eggs? - 1
About how often does your child eat food from the food group - Meat like beef, chicken, fish, eggs? - 2
About how often does your child eat food from the food group - Meat like beef, chicken, fish, eggs? - 3
About how often does your child eat food from the food group - Meat like beef, chicken, fish, eggs? - 4
About how often does your child eat food from the food group - Meat like beef, chicken, fish, eggs? - 5
About how often does your child eat food from the food group - protein like beans, peas, nuts, peanut butter, veggie burger? - 1
About how often does your child eat food from the food group - protein like beans, peas, nuts, peanut butter, veggie burger? - 2
About how often does your child eat food from the food group - protein like beans, peas, nuts, peanut butter, veggie burger? - 3
About how often does your child eat food from the food group - protein like beans, peas, nuts, peanut butter, veggie burger? - 4
About how often does your child eat food from the food group - protein like beans, peas, nuts, peanut butter, veggie burger? - 5
About how often does your child eat food from the food group - grains like bread, rice, pasta, cereals, tortillas? - 1
About how often does your child eat food from the food group - grains like bread, rice, pasta, cereals, tortillas? - 2
About how often does your child eat food from the food group - grains like bread, rice, pasta, cereals, tortillas? - 3
About how often does your child eat food from the food group - grains like bread, rice, pasta, cereals, tortillas? - 4
About how often does your child eat food from the food group - grains like bread, rice, pasta, cereals, tortillas? - 5
About how often does your child eat food from the food group - Dark Green Vegetables or Orange-Yellow Vegetables like greens, carrots, broccoli, squash, sweet potatoes - but not french fries? - 1
About how often does your child eat food from the food group - Dark Green Vegetables or Orange-Yellow Vegetables like greens, carrots, broccoli, squash, sweet potatoes - but not french fries? - 2
About how often does your child eat food from the food group - Dark Green Vegetables or Orange-Yellow Vegetables like greens, carrots, broccoli, squash, sweet potatoes - but not french fries? - 3
About how often does your child eat food from the food group - Dark Green Vegetables or Orange-Yellow Vegetables like greens, carrots, broccoli, squash, sweet potatoes - but not french fries? - 4
About how often does your child eat food from the food group - Dark Green Vegetables or Orange-Yellow Vegetables like greens, carrots, broccoli, squash, sweet potatoes - but not french fries? - 5
About how often does your child eat food from the food group - Fruits like apples, oranges, bananas, grapes, peaches, applesauce - but not juice? - 1
About how often does your child eat food from the food group - Fruits like apples, oranges, bananas, grapes, peaches, applesauce - but not juice? - 2
About how often does your child eat food from the food group - Fruits like apples, oranges, bananas, grapes, peaches, applesauce - but not juice? - 3
About how often does your child eat food from the food group - Fruits like apples, oranges, bananas, grapes, peaches, applesauce - but not juice? - 4
About how often does your child eat food from the food group - Fruits like apples, oranges, bananas, grapes, peaches, applesauce - but not juice? - 5
Leche de fórmula
Have you introduced solid food such as baby food or table food? - 0
No
Have you introduced solid food such as baby food or table food? - 1
Sí
NoZone_3
If no, skip to next section.
B15.
Qué tan seguido come su hijo(a) uno de los alimentos de cada uno de los siguientes grupos (ya sea comida para bebé o de la que la familia come).
About how often does your child eat food from the food group - sugary sweets like cakes, candy or sugary drinks like soda, sportsdrinks, juice or fruit drinks? - 1
About how often does your child eat food from the food group - sugary sweets like cakes, candy or sugary drinks like soda, sportsdrinks, juice or fruit drinks? - 2
About how often does your child eat food from the food group - sugary sweets like cakes, candy or sugary drinks like soda, sportsdrinks, juice or fruit drinks? - 3
About how often does your child eat food from the food group - sugary sweets like cakes, candy or sugary drinks like soda, sportsdrinks, juice or fruit drinks? - 4
About how often does your child eat food from the food group - sugary sweets like cakes, candy or sugary drinks like soda, sportsdrinks, juice or fruit drinks? - 5
h)
No tome en cuenta los alimentos que le dan en la guardería
.
Utilice la Tarjeta de Respuestas
Si
alguna
respuesta se encuentra en el área sombreada:
Considere
la educación sobre la nutrición como una meta
.
Infant Toddler Sibling
Spanish Inventory
Parent ID
Parent ID
www.thefamilymap.org
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
Ahora hablemos acerca de las preocupaciones sobre la seguridad. Al pensar en
el mes pasado
, cuántas veces ha hecho un viaje su hijo(a), aunque haya sido un viaje corto:
C1.
¿Ha viajado en el asiento de enfrente del vehículo?
C2.
¿Ha viajado en el asiento trasero con el cinturón de seguridad abrochado y en el asiento de niño(a) para el vehículo?
C3.
¿Ha viajado en la cama de una camioneta o en una motocicleta?
C4.
¿Ha viajado en un vehículo para todo terreno como un cuatrimoto, podadora de césped o algún vehículo similar que no se ocupa en la carretera?
In the past month, how many rides has your child taken even on short trips - in the front seat of a vehicle? - 0
In the past month, how many rides has your child taken even on short trips - in the front seat of a vehicle? - 1
In the past month, how many rides has your child taken even on short trips - in the front seat of a vehicle? - 2
In the past month, how many rides has your child taken even on short trips - in the front seat of a vehicle? - 3
Nunca
1 a 9 veces
10 veces o más
Todos los viajes
In the past month, how many rides has your child taken even on short trips - in the back seat with a seatbelt with a car seat? - 0
In the past month, how many rides has your child taken even on short trips - in the back seat with a seatbelt with a car seat? - 1
In the past month, how many rides has your child taken even on short trips - in the back seat with a seatbelt with a car seat? - 2
In the past month, how many rides has your child taken even on short trips - in the back seat with a seatbelt with a car seat? - 3
C12.
Cuando duerme su hijo/a,
C13.
Cuando usted o alguien más le acuesta al/a la bebé a dormir,
a)
b)
¿duerme usted o alguien más con el/la bebé en la misma cama o en el sofá?
¿deja usted que el/la bebé duerma en la misma habitación que usted pero no en la misma cama?
a)
b)
¿siempre le acuesta boca arriba para dormir?
¿deja que el/la bebé duerma en cubrecamas suaves o con peluches?
In the past month, how many rides has your child taken even on short trips - in the bed of a truck or on a motorcycle? - 0
In the past month, how many rides has your child taken even on short trips - in the bed of a truck or on a motorcycle? - 1
In the past month, how many rides has your child taken even on short trips - in the bed of a truck or on a motorcycle? - 2
In the past month, how many rides has your child taken even on short trips - on an All-Terrain Vehicle or 4-Wheeler, tractor, riding lawnmower or similar off-road vehicle? - 0
In the past month, how many rides has your child taken even on short trips - on an All-Terrain Vehicle or 4-Wheeler, tractor, riding lawnmower or similar off-road vehicle? - 1
In the past month, how many rides has your child taken even on short trips - on an All-Terrain Vehicle or 4-Wheeler, tractor, riding lawnmower or similar off-road vehicle? - 2
Sí
No
When you child sleeps, do you or anyone else - co-sleep with your baby in the same bed or couch? - 0
No
When you child sleeps, do you or anyone else - co-sleep with your baby in the same bed or couch? - 2
Don't Know
When you child sleeps, do you or anyone else - co-sleep with your baby in the same bed or couch? - 1
Yes
No sé
When you child sleeps, do you or anyone else - let the baby sleep in the room with you but not in the same bed? - 0
No
When you child sleeps, do you or anyone else - let the baby sleep in the room with you but not in the same bed? - 2
Don't Know
When you child sleeps, do you or anyone else - let the baby sleep in the room with you but not in the same bed? - 1
Yes
When you or anyone else puts your baby down to sleep - is the baby always placed on the child's back to sleep? - 0
No
When you or anyone else puts your baby down to sleep - is the baby always placed on the child's back to sleep? - 2
Don't Know
When you or anyone else puts your baby down to sleep - is the baby always placed on the child's back to sleep? - 1
Yes
When you or anyone else puts your baby down to sleep - let teh baby sleep on soft bedding or with any stuffed toys? - 0
No
When you or anyone else puts your baby down to sleep - let teh baby sleep on soft bedding or with any stuffed toys? - 2
Don't Know
When you or anyone else puts your baby down to sleep - let teh baby sleep on soft bedding or with any stuffed toys? - 1
Yes
SEGURIDAD EN EL HOGAR Y EN EL VEHÍCULO
SECCIÓN No. 10
Si
alguna
respuesta se encuentran en el área sombreada: Considere
la seguridad vehicular
como una meta.
Si
alguna
respuesta se encuentran en el área sombreada:
Considere
Reglas de Seguridad
como una meta.
Infant Toddler Sibling
Spanish Inventory
Parent ID
Parent ID
www.thefamilymap.org
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
C14.
Cuna/cama con espacios entre las barras más del ancho de su mano (alrededor de los 6 centímetros).
a)
Sí
No o no tienen
Regarding where your child sleeps and plays - in your home, do you have - Crib or Bed with slats no more than the width of your hand apart? - 0
Regarding where your child sleeps and plays - in your home, do you have - Crib or Bed with slats no more than the width of your hand apart? - 1
Tómese un momento para pensar dónde duerme y juega su hijo(a). De las siguientes cosas, ¿cuáles tiene en la casa?
Cuna/cama cerca de una ventana con persianas y cordones o una unidad de calefacción
b)
Escaleras sin puertas
c)
Mesa sin barandales para cambiar al bebé o mesa que tiene barandales de 2 pulgadas de alto
d)
Una mascota que podría actuar agresivamente
e)
Regarding where your child sleeps and plays - in your home, do you have - crib or bed near windows with blind cords or near any heating units? - 0
Regarding where your child sleeps and plays - in your home, do you have - crib or bed near windows with blind cords or near any heating units? - 1
Regarding where your child sleeps and plays - in your home, do you have - stairs without gates? - 0
Regarding where your child sleeps and plays - in your home, do you have - stairs without gates? - 1
Regarding where your child sleeps and plays - in your home, do you have - changing table with guard rails or rails less than 2 inches tall? - 0
Regarding where your child sleeps and plays - in your home, do you have - changing table with guard rails or rails less than 2 inches tall? - 1
Regarding where your child sleeps and plays - in your home, do you have - Kitchen or Bathroom Cabinets and Drawers without Stops or Locks? - 0
Regarding where your child sleeps and plays - in your home, do you have - Kitchen or Bathroom Cabinets and Drawers without Stops or Locks? - 1
Regarding where your child sleeps and plays - in your home, do you have - Cabinets and drawers in the kitchen or bath without fasteners and locks - 0
Regarding where your child sleeps and plays - in your home, do you have - Cabinets and drawers in the kitchen or bath without fasteners and locks - 1
C15.
El jabón para lavar ropa o suministros para limpieza
a)
Tómese un momento para pensar acerca de dónde se encuentran las siguientes cosas de la casa. ¿Cuáles de estas cosas podría su hijo(a) encontrar y obtenerlas si lo intentara?
El líquido encendedor para barbacoas
b)
Los fósforos o encendedores
c)
La plancha
d)
Las medicinas
e)
La cerveza, vino u otras bebidas alcohólicas
f)
Los cuchillos, tijeras, u otros objetos con filo
g)
Las herramientas como los serruchos, desarmadores, etc.
h)
Las armas de fuego como las pistolas u otras armas
i)
Las cosas para el aseo personal como el líquido para la limpieza bucal, perfumes, atomizadores para el cabello o esmalte para uñas
j)
Los juguetes u objetos que son lo suficientemente pequeños y que puedan provocar asfixia.
k)
Regarding Household Item Location Within Your Home - Could your child find and access - laundry detergent or cleaning supplies, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - laundry detergent or cleaning supplies, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - laundry detergent or cleaning supplies, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - BBQ Lighter Fluid, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - BBQ Lighter Fluid, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - BBQ Lighter Fluid, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - matches or lighters, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - matches or lighters, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - matches or lighters, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - Iron, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - Iron, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - Iron, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - medications, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - medications, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - medications, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - alcoholic beverages, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - alcoholic beverages, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - alcoholic beverages, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - knives, scissors, or other sharp objects, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - knives, scissors, or other sharp objects, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - knives, scissors, or other sharp objects, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - tools like saws, screwdrivers and such, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - tools like saws, screwdrivers and such, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - tools like saws, screwdrivers and such, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - firearms like guns or other weaponry, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - firearms like guns or other weaponry, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - firearms like guns or other weaponry, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - toiletries such as mouthwash, perfume, hair spray, or nail polish, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - toiletries such as mouthwash, perfume, hair spray, or nail polish, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - toiletries such as mouthwash, perfume, hair spray, or nail polish, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - toys or objects small enough to be a choking hazard, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - toys or objects small enough to be a choking hazard, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - toys or objects small enough to be a choking hazard, if they tried? - 1
No tengo
Sí
No
Hay preocupaciones sobre la seguridad en casa
Safety Concerns in the Home - 1
1
Safety Concerns in the Home - 2
2
Safety Concerns in the Home - 3
3
Safety Concerns in the Home - 4
4
No hay preocupaciones sobre la seguridad en casa
Hay preocupaciones sobre la seguridad fuera de casa
Safety Concerns Outside of Home - 1
1
Safety Concerns Outside of Home - 2
2
Safety Concerns Outside of Home - 3
3
Safety Concerns Outside of Home - 4
4
No hay preocupaciones sobre la seguridad fuera de casa
Si
alguna
respuesta se encuentran en el área sombreada:
Considere
Reglas de Seguridad
como una meta.
Si
alguna
respuesta se encuentran en el área sombreada:
Considere
la seguridad del hogar
como una meta.
f)
Los gabinetes y gavetas de la cocina o del baño sin sujetadores y sin cerraduras
Infant Toddler Sibling
Spanish Inventory
Parent ID
Parent ID
www.thefamilymap.org
Thefamilymap.org
© 2016, BioVentures, LLC, All rights reserved
W1 ..
El niño/la niña estuvo presente durante la visita:
Child Present in home during visit? - 0
No
Child Present in home during visit? - 1
Sí
W2 ..
La ubicación del niño/de la niña durante la visita:
Si el niño/la niña no está presente, no complete esta página. Cuando el niño/la niña se encuentra
presente y está en la habitación durante por lo menos 20 minutos de la visita
, clasifique los siguientes puntos según las definiciones que sen encuentran en la hoja de resumen de las observaciones.
W3 ..
Toca al niño/a la niña de una manera afectuosa.
W4 ..
Habla con un tono de voz amigable.
W5 ..
Le sonríe al niño/a la niña.
W6 ..
Felicita al niño/a la niña.
W7 ..
Le dice expresiones positivas al niño/a la niña.
W8 ..
Le pone atención a lo que está haciendo el/la niño(a).
W9 ..
Cambia la velocidad con que hace las cosas o la actividad para que el/la niño(a) se interese.
W10.
Le contesta al niño/a la niña cuando éste(a) dice alguna palabra o hace algún sonido bucal.
During Visit, Does the parent touch child affectionately? - 0
During Visit, Does the parent touch child affectionately? - 1
During Visit, Does the parent touch child affectionately? - 2
Ausente
No ocurrió
Apenas estuvo presente
Ocurrió unas veces
Completamente presente
Ocurrió muchas veces
During Visit, does the parent speak in a warm tone of voice toward the child? - 0
During Visit, does the parent speak in a warm tone of voice toward the child? - 1
During Visit, does the parent speak in a warm tone of voice toward the child? - 2
During Visit, does the parent smile at the child? - 0
During Visit, does the parent smile at the child? - 1
During Visit, does the parent smile at the child? - 2
During Visit, Does the parent praise the child? - 0
During Visit, Does the parent praise the child? - 1
During Visit, Does the parent praise the child? - 2
During Visit, Does the parent use positive expression with child? - 0
During Visit, Does the parent use positive expression with child? - 1
During Visit, Does the parent use positive expression with child? - 2
During Visit, is the parent attentive with the child and what the child is doing? - 0
During Visit, is the parent attentive with the child and what the child is doing? - 1
During Visit, is the parent attentive with the child and what the child is doing? - 2
During Visit, Does the parent change pace or activity to meet child's interests? - 0
During Visit, Does the parent change pace or activity to meet child's interests? - 1
During Visit, Does the parent change pace or activity to meet child's interests? - 2
During Visit, Does the parent replies to child's words or vocalizations? - 0
During Visit, Does the parent replies to child's words or vocalizations? - 1
During Visit, Does the parent replies to child's words or vocalizations? - 2
El niño/la niña NO estaba presente en la habitación la mayor parte de la visita, pero por lo menos estuvo presente durante 20 minutos
El niño/La niña estuvo en la habitación todo el tiempo
OBSERVACIONES PARA COMPLETAR AL CONCLUIR LA VISITA
SECCIÓN No. 12
Papá o mamá…
Child in the room during visit? - 1
1
Child in the room during visit? - 2
2
Child in the room during visit? - 3
3
Child in the room during visit? - 4
4
Si
alguna
respuesta se encuentra en el área sombreada: Considere
el monitoreo
como una meta.
Si
5 o más
respuestas se encuentran en el área sombreada:
Considere
la educación
sobre cómo ser padre o madre de familia como una meta.
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