Early Childhood FM (FPA)
Version 5.1
TV/Movie Response Card
Never
Once a month
1 – 2 times a week
3 or more times a week
THE WHALE
GNOMEO AND JULIET
Barney & Friends
The Suite Life of Zack &
Cody
Sesame Street
JUSTIN BIEBER:
NEVER SAY NEVER
WINNIE THE POOH
The Backyardigans
Phineas & Ferb
Jonas Brothers: L.A.
RIO
TOY STORY 3
Little Bill
Hannah Montana
Go, Diego, Go!
KUNG FU PANDA 2
RANGO
Star Wars: The Clone Wars
WWE
House of Payne
PUSS IN BOOTS
HOP
SpongeBob SquarePants
i Carly
Adventure Time
ZOOKEEPER
HAPPY FEET TWO
DESPICABLE ME
Survivor
American Idol
THE HELP
WATER FOR ELEPHANTS
THOR
CSI
The Family Guy
LIMITLESS
TRANSFORMERS: DARK
OF THE MOON
X-MEN: FIRST CLASS
Game of Thrones
Breaking Bad
SHERLOCK HOLMES: A
GAME OF SHADOWS
THE TWILIGHT SAGA:
BREAKING DAWN PT. 1
HARRY POTTER & THE
DEATHLY HALLOWS:
PART 2
Real Housewives
(Daytime Dramas like)
The Young and Restless
NO STRINGS ATTACHED
THE HANGOVER 2
HORRIBLE BOSSES
Sex and the City
Dexter
BAD TEACHER
HORRIBLE BOSSES
BRIDESMAIDS
South Park
True Blood
familymap.uams.edu
Copyright © 2010 by UAMS, Leanne Whiteside-Mansell
Early Childhood FM (FPA)
Version 5.1
Response Card
pg.2
S1
Rarely
Sometimes
Often
Always
pg.10
E1
Very Bad
Fairly Bad
Fairly Good
Very Good
pg.10
E2
Never
Some of the time
Most of the time
All of the time
pg.10
E3
Not serious
Not too serious
Fairly serious
Very serious
pg.10
E4
Never happen
Hardly ever happen
Happen fairly often
Happen very often
pg. 10
E5
Never
pg.11
F1 - F7
pg.11
F8 - F14
Strongly Disagree
Once
Two
times
Three
times
Never or
Rarely
Sometimes
Often or
Always
Disagree
Agree
More than 3
times
Strongly Agree
sib pg.9
pg.12
D2
NA/Never
Rarely
Sometimes
Often
Always
sib pg.10
pg.14
H17
Not at all
pg.16
B10 - B11
pg.17
B12
sib pg.12
More than 1
a day
pg.20
I1
pg.20
I2
None
Several days
More than ½ the
days
Never true
Sometimes
true
Often true
Once a day
2-6
a week
Once a week
Little or none
of the time
Some of the
time
Most or all of
the time
Once or twice
a month
Weekly
familymap.uams.edu
Copyright © 2010 by UAMS, Leanne Whiteside-Mansell
Nearly every day
None
More than once
a week