| Spiritual Health | |
| I hold my child | |
| Show love to my child | |
| Explore nature | |
| Show that I trust my child | |
| Read with my child | |
| We eat meals together | |
| We talk together | |
| Spend time in family talks | |
| Spend time with friends |
Age of your child in years: X 365 = days
This is the number of days you have been responsible for your child’s health.
Put a check beside the things you do all the time or most of the time.
| Spiritual Health | |
| I hold my child | |
| Show love to my child | |
| Explore nature | |
| Show that I trust my child | |
| Read with my child | |
| We eat meals together | |
| We talk together | |
| Spend time in family talks | |
| Spend time with friends |
| Physical Health | |
| Make Meals | |
| Give Baths | |
| Dress child | |
| Take child to doctor | |
| Get up in the night with your child | |
| Save your child’s life | |
| Care for cuts and bruises | |
| Care for child during illness | |
| Mental Health | |
| Figure out what my child is trying to tell me | |
| Get someone to care for my child for my own mental break | |
| Set limits for my child | |
| Say no and mean it | |
| Do not like my child’s behaviour | |
| Emotional Health | |
| Explore the world together | |
| Play together | |
| Imagine together |