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SEEK Parent Questionnaire A Safe Environment for Every Kid No. Dear Parent or Caregiver: Being a parent is not easy. We want to help families have a safe environment for kids. We are asking everyone.

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How to fill out the Seek Questionnaire online

Filling out the Seek Questionnaire is an important step in ensuring a safe environment for your child. This guide will help you navigate the process of completing the form online with clear instructions and supportive guidance.

Follow the steps to complete the Seek Questionnaire effectively.

  1. Click the ‘Get Form’ button to obtain the Seek Questionnaire and open it in your preferred document editor.
  2. Enter today’s date in the designated field at the top of the form. This should be the current date when you are filling out the questionnaire.
  3. Fill in your child's date of birth. This is essential to ensure the information is specific to the child being evaluated.
  4. Select your child's sex by checking the appropriate box for either male or female. This demographic information helps in the assessment process.
  5. Respond to the questions regarding various concerns by checking 'Yes' or 'No' in the provided sections. It is important to answer openly to allow for the best support.
  6. Answer any additional questions, including if you need assistance with specific concerns such as support services, contact numbers, or other resources.
  7. Once you have completed the questionnaire, review your answers to ensure all information is accurate and complete.
  8. You can now save your changes, download a copy of the completed form, print it out for your records, or share it with the necessary healthcare provider.

Start completing your Seek Questionnaire online today to ensure a safe environment for your child.

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It is available on our SEEK Materials webpage. CPT code 96160 can be used for reimbursement for using the SEEK Parent Questionnaire – R (PQ – R). This code covers the administration of a patient-focused health risk assessment.

The revised SEEK Parent Questionnaire-R (PQ-R) is a tool to screen for the targeted problems: parental depression, substance abuse, major stress, intimate partner violence, food insecurity, and harsh punishment. It is completed in advance and given to the professional at the start of a regular checkup.

+ The SEEK Parent Questionnaire-R (PQ-R) is a brief evidence-based questionnaire to screen for prevalent and targeted psychosocial problems such as parental depression and substance use. The earlier version was revised in 2017 based on new knowledge and experience of those implementing the model.​

The SEEK PQ is an evidence-based tool used to briefly and systematically screen parents for prevalent psychosocial problems that are risk factors for child maltreatment, and that generally jeopardize children's health, development and safety.

The Mood and Feelings Questionnaire (Short Version) – Parent Report (MFQ-Parent) is a 13-item measure assessing recent depressive symptomatology in children aged 6-17 years. The MFQ-Parent is parent-rated and asks the parent to report how their child has been feeling or acting in the past two weeks.

The SEEK PQ is an evidence-based tool used to briefly and systematically screen parents for prevalent psychosocial problems that are risk factors for child maltreatment, and that generally jeopardize children's health, development and safety.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232