Aapi 2 Form PDF Details

Aapi 2 form is a two-page form for the determination of eligibility for benefits and services from the Social Security Administration (SSA). Benefits and services can include, but are not limited to: retirement benefits, disability benefits, Supplemental Security Income (SSI), Medicare, and Medicaid. The Aapi 2 form is also used to determine whether an individual is blind or disabled. This form must be completed by all applicants for benefits, with the exception of individuals who are applying for SSI based on resources only. In order to complete the Aapi 2 form accurately, all questions must be answered truthfully. Applicants should provide as much information as possible, including their name, date of birth, social security number (SSN), type

QuestionAnswer
Form NameAapi 2 Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesaapi 2, aapi 2 pdf, aapi 2 1 form a and form b, aapi 2 1 scoring

Form Preview Example

Adult - Adolescent Par ent ing I nvent or y ( AAPI - 2)

St ephen J. Bav olek, Ph . D. and Richar d G. Keene, Ph . D.

Te st For m A

This t est can only be scor ed online at assessingpar ent ing. com

Be for e y ou t a k e t h e in v e n t or y , w e n e e d som e im por t a n t in for m a t ion fr om y ou .

1

.

Adm inist ered on: ______________ ______________

______________

 

 

 

 

 

Mont h

Year

Dat e

 

 

 

2

.

Fir st Nam e: _____________________________________

 

 

 

3

.

Middle I nit ial ( opt ional) : ________

 

 

 

 

 

4

.

Last Nam e:

_________________________________

Last 4 digit s of SSN# ( opt ional) : _______________

5

.

Birt hday: ______________

______________ ______________

 

 

 

 

 

 

 

Mont h

 

Year

Dat e

 

 

 

6

.

Gender : Male

Fem ale

 

 

 

 

 

 

7

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Race: Unk now n Whit e

Black

Asian

Hispanic

Nat iv e Am er ican Pacific I slander

 

 

Nat ionalit y:

________________________________

 

 

 

 

8

.

Marit al St at us:

Unk now n

 

Single

Mar ried

Divor ced

Unm ar r ied Par t ner s

 

 

 

 

Separ at ed

Widow ed

 

 

 

 

 

9

.

How m any childr en do you have: _________

 

 

 

 

1

0 .

What is t he highest gr ade you com plet ed in school: Unknow n

Grade School

7t h Gr ade 8 t h Gr ade

 

 

9 t h Gr ade

10 t h Gr ade

11 t h Gr ade

High School Gr ad

Som e College

College Gr aduat e

Post - Gr aduat e or abov e

1 1 . What is your em ploym ent st at us: Unk now n

Em ploy ed Full Tim e

Unem ployed

Not Em ployed because of Disabilit y

Em ployed Par t Tim e Ret ir ed

1 2 . What is your annual household incom e: Unk now n

$ 25,001 - $ 40,000

Under $ 15,000 $ 40,001 - $ 60,000

$ 15,001 - $ 25,000 Over $ 60,000

1 3 . Wer e you and/ or your par t ner in t he m ilit ar y: Unk now n

No

Yes, bot h of us

Yes, only m y par t ner

Yes, only m e

1 4 . As a child, did you exper ience any t ype of abuse by a per son:

a . Out side your fam ily? b . Wit hin y our fam ily ?

Don’t Know Don’t Know

Yes Yes

No No

( 800) 688 - 5822 ▪ ( 435) 649 - 5822 ( out side t he Unit ed St at es) ▪ fdr @nur t ur ingpar ent ing . com

w w w . a sse ssin gpa r e n t in g . com

____________________________________________________________________________________________________________________________________________________

© 2010 Family Development Resources, Inc. All rights reserved. Permission is granted by the publisher to reproduce this page. www.assessingparenting.com

I N STRU CTI ON S:

Ther e ar e

40 st at em ent s in t his booklet . They ar e st at em ent s about par ent ing and r aising

childr en .

You decide t he degr ee t o w hich you agr ee or disagr ee w it h each st at em ent by cir cling

one of t he r esponses.

STRON GLY AGREE – Cir cle SA if you st r ongly suppor t t he st at em ent , or feel t he st at em ent is t r ue m ost of all t he t im e.

AGREE – Cir cle A if you suppor t

t he st at em ent ,

or feel

t his st at em ent is t r ue som e of

t he

t im e.

 

 

 

 

STRON GLY D I SAGREE – Cir cle

SD if you feel

st r ongly

against t he st at em ent , or feel

t he

st at em ent is not t r ue.

 

 

 

 

D I SAGREE – Cir cle D if you feel you cannot suppor t t he st at em ent or t hat t he st at em ent is not t r ue som e of t he t im e.

U N CERTAI N – Cir cle U only w hen it is im possible t o decide on one of t he ot her choices.

When you ar e t old t o t ur n t he page, begin w it h Num ber 1 and go on unt il you finish all t he st at em ent s. I n answ er ing t hem , please keep t hese four point s in m ind:

1 . Respond t o t he st at em ent s t r ut hfully . Ther e is no adv ant age in giv ing an unt r ue r esponse because you t hink it is t he r ight t hing t o say . Ther e r eally is no r ight or w r ong answ er – only your opinion .

2 . Respond t o t he st at em ent s as quickly as you can . Give t he fir st nat ur al r esponse t hat com es t o m ind.

3 . Cir cle only one r esponse for each st at em ent .

4 . Alt hough som e st at em ent s m ay seem m uch like ot her s, no t w o st at em ent s ar e exact ly alik e. Mak e sur e y ou r espond t o ev er y st at em ent .

I f t her e is anyt hing you don’t under st and, please ask your quest ions now . I f you com e acr oss a w or d you don’t know w hile r esponding t o a st at em ent , ask t he exam iner for help.

PLEASE TURN TH E PAGE AN D BEGI N …

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© 2010 Family Development Resources, Inc. All rights reserved. Permission is granted by the publisher to reproduce this page. www.assessingparenting.com

 

St r o n g ly

St r on gly

AAPI On lin e - For m A

Agr e e

Agr e e D isa g r e e D isa g r e e U n ce r t a in

1 . Childr en need t o be allow ed fr eedom t o explor e t heir w or ld in safet y .

2 . Tim e- out is an effect iv e w ay t o discipline childr en .

3 . Children w ho are one- year - old should be able t o st ay away fr om t hings t hat could har m t hem .

4 . St rong- w illed childr en m ust be t aught t o m ind t heir par ent s.

5 . The sooner childr en lear n t o feed and dr ess

t hem selv es and use t he t oilet , t he bet t er off t hey w ill be as adult s.

6 . Spanking t eaches childr en r ight fr om w r ong.

7 . Babies need t o lear n how t o be consider at e of t he needs of t heir m ot her .

8 . St rict discipline is t he best w ay t o raise children .

9 . Parent s w ho nurt ure t hem selves m ake bet t er par ent s.

10 . Children can learn good discipline w it hout being spanked.

11 . Childr en have a r esponsibilit y t o please t heir par ent s.

12 . Good childr en alw ays obey t heir par ent s.

13 . I n fat her’s absence, t he son needs t o becom e t he m an of t he house.

14 . A good spanking never hurt anyone.

15 . Par ent s need t o push t heir childr en t o do bet t er .

16 . Children should k eep t heir feelings t o t hem selv es.

17 . Children should be aw are of ways t o com for t t heir par ent s aft er a hard day’s w ork .

18 . Childr en lear n r espect t hr ough st r ict discipline.

19 . Hit t ing a child out of love is differ ent t han hit t ing a child out of anger .

20 . A good child sleeps t hr ough t he night .

21 . Childr en should be pot t y t r ained w hen t hey ar e r eady and not befor e.

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© 2010 Family Development Resources, Inc. All rights reserved. Permission is granted by the publisher to reproduce this page. www.assessingparenting.com

 

 

St r o n g ly

 

 

St r on gly

 

AAPI On lin e - For m A

Agr e e

Agr e e

D isa g r e e

D isa g r e e U n ce r t a in

22

. A cer t ain am ount of fear is necessar y for childr en

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t o r espect t heir par ent s.

 

 

 

 

 

23

. Spanking t eaches childr en it ’s alr ight t o hit

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ot her s.

 

 

 

 

 

24

. Childr en w ho feel secur e oft en gr ow up expect ing

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t oo m uch .

 

 

 

 

 

25

. There is not hing w orse t han a st rong- w illed t w o-

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year - old.

 

 

 

 

 

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. Som et im es spank ing is t he only t hing t hat w ill

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w or k .

 

 

 

 

 

27

. Children w ho receiv e praise w ill t hink t oo m uch of

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t hem selv es.

 

 

 

 

 

28

. Children should do w hat t hey ’re t old t o do, w hen

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t hey’r e t old t o do it . I t ’s t hat sim ple.

 

 

 

 

 

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. Childr en should be t aught t o obey t heir par ent s at

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all t im es.

 

 

 

 

 

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. Children should know w hat t heir parent s need

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w it hout being t old.

 

 

 

 

 

31

. Children should be responsible for t he w ell- being

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of t heir par ent s.

 

 

 

 

 

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. I t ’s OK t o spank as a last r esor t .

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33

. Parent s should be able t o confide in t heir

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childr en .

 

 

 

 

 

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. Par ent s w ho encourage t heir childr en t o t alk t o

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t hem only end up list ening t o com plaint s.

 

 

 

 

 

35

. Children need discipline, not spanking.

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36

. Let t ing a child sleep in t he parent s’ bed ev er y

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now and t hen is a bad idea.

 

 

 

 

 

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. A good spank ing let s children know parent s m ean

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business.

 

 

 

 

 

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. A good child w ill com for t bot h par ent s aft er t hey

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have argued.

 

 

 

 

 

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. “ Because I said so” is t he only reason parent s

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need t o give.

 

 

 

 

 

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. Children should be t heir par ent s’ best fr iend.

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© 2010 Family Development Resources, Inc. All rights reserved. Permission is granted by the publisher to reproduce this page. www.assessingparenting.com

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