Version: 07/05/2017 Lambie 1

Seminole County Public Schools (SCPS) and UCF College of Education &
Human Performance (UCF-CEDHP) Partnership
Counseling Services at Hamilton, Midway, & Pine Crest Elementary Schools
Fall 2017 & Spring 2018
Counseling Psychosocial Likert Scale Assessment
(Lambie, 2016)
Rate your childs level of health and/or functionality as of today in the different categories listed
below. Please complete all the items on the assessment to the best of your knowledge. All your
ratings on this assessment are confidential.

1. Please rate your childs current physical health:

Very Poor Poor Average Good Very Good

2. Please rate your childs emotional health / functionality:

Very Poor Poor Average Good Very Good

3. Please rate your childs familys level of functioning:

Very Poor Poor Average Good Very Good

4. Please rate your childs current educational achievement / functioning:

Very Poor Poor Average Good Very Good

5. Please rate your childs academic ability within school:

Very Poor Poor Average Good Very Good

6. Please rate your childs behavior within school:

Very Poor Poor Average Good Very Good

7. Please rate your childs attendance at school:

Very Poor Poor Average Good Very Good

8. Please rate the quality of your childs teachers:

Very Poor Poor Average Good Very Good

9. Please rate the quality of your childs relationships with peers:

Very Poor Poor Average Good Very Good

10. Please rate your childs ability to have quality relationships with peers:
Very Poor Poor Average Good Very Good

11. How would you rate your childs support systems (e.g., family, peers, & teachers)?
Very Poor Poor Average Good Very Good