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The use of whole family assessment to identify the needs of families ...

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Anti-Social BehaviourHow would you rate this area <strong>of</strong> your life with 0 being very poor and 10 being very good?Score (please cross a box)0 1 2 3 4 5 6 7 8 9 10Have you or any <strong>of</strong> your <strong>family</strong> been involved or acc<strong>use</strong>d <strong>of</strong> any form <strong>of</strong> Anti Social Behaviour?Yes NoIf yes, who in <strong>the</strong> <strong>family</strong> have been responsible or acc<strong>use</strong>d?What was this for? And what was <strong>the</strong> outcome?Are <strong>the</strong>re any ongoing issues relating <strong>to</strong> anti social behaviour, that you or any <strong>of</strong> your <strong>family</strong> isresponsible for, or are <strong>the</strong> victims <strong>of</strong> in your area? Please provide details.Legal / OffendingHow would you rate this area <strong>of</strong> your life with 0 being very poor and 10 being very good?Score (please cross a box)0 1 2 3 4 5 6 7 8 9 10Have you or any <strong>of</strong> your <strong>family</strong> ever been convicted <strong>of</strong> a criminal <strong>of</strong>fence? Yes NoIf yes, what disposal did <strong>the</strong>y receive by <strong>the</strong> court?How long ago was this?Are <strong>the</strong>re any current Police proceedings ongoing with you or your partner? Yes NoIf so, what was this for?Please give details <strong>of</strong> all financial issues, i.e. – income, benefits, debtHow would you rate this area <strong>of</strong> your life with 0 being very poor and 10 being very good?Score (please cross a box)0 1 2 3 4 5 6 7 8 9 10Are you currently in debt? Yes NoIf yes, who do you owe and how much?Are you worried about <strong>the</strong> amount <strong>of</strong> debt you are in? Yes NoWould you like support regarding your debt? Yes NoWhat income does your <strong>family</strong> have? Please include details <strong>of</strong> benefits.Think Family F1Page 6 <strong>of</strong> 7

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