Items:

Children often do things that are wrong, disobey or make their parents angry. We would like to know what you have done when your [SAY age of referent child] year old child, did something wrong or make you upset or angry.

I am going to read a list of things you might have done in the past year and I would like you to tell me whether you have: done it once in past year, done it twice in the past year, 3-5 times in the past year, 6-10 times, 11-20 times, or more than 20 times in the past year. If you haven’t done it in the past year but have done it before that, I would like to know this, too.

1. Explained why something was wrong
2. Put himher in “time out” (or sent to hisher room)
3. Shook himher
4. Hit himher on the bottom with something like a belt, hairbrush, a stick or some other hard object
5. Gave himher something else to do instead of what heshe was doing wrong
6. Shouted, yelled, or screamed at himher
7. Hit himher with a fist or kicked himher hard
8. Spanked himher on the bottom with your bare hand
9. Grabbed himher around the neck and chocked himher
10. Swore or curse at himher
11. Beat himher up, that is you hit himher over and over as hard as you could
12. Said you would send himher away or kick himher out of the house
13. Burned or scalded himher on purpose
14. Threatened to spank or hit himher but did not actually do it
15. Hit himher on some other part of the body besides the bottom with something like a belt, hairbrush, a stick or some other hard object
16. Slapped himher on the hand, arm, or leg
17. Took away privileges or grounded himher
18. Pinched himher
19. Threatened himher with a knife or gun
20. Threw or knocked himher down
21. Called himher dumb or lazy or some other name like that
22. Slapped himher on the face or head or ears

Response Options:
Once in the past year - 1
Twice in the past year - 2
3-5 times in the past year - 3
6-10 times in the past year - 4
11-20 times in the past year - 5
More than 20 times in the past year - 6
Not in the past year, but it did happen before - 7
This has never happened - 0