Values/Health Perception

1. What are your family’s values related to health and well-being?
2. How do your family’s values influence your health-related decisions?
3. What are your family’s strengths and challenges related to health?

Nutrition

1. What are your family’s usual eating habits?
2. What are your family’s favorite foods?
3. What are your family’s challenges related to eating healthy?

Sleep/Rest

1. How much sleep do your family members typically get?
2. What are your family’s usual sleep habits?
3. What are your family’s challenges related to getting enough sleep?

Elimination

1. What are your family’s usual elimination habits?
2. Are there any challenges related to elimination that your family is facing?

Activity/Exercise

1. How active is your family?
2. What are your family’s favorite activities?
3. What are your family’s challenges related to getting enough exercise?

Cognitive

1. How would you describe your family’s cognitive functioning?
2. Are there any challenges related to cognitive functioning that your family is facing?

Sensory-Perception

1. How would you describe your family’s sensory-perceptual functioning?
2. Are there any challenges related to sensory-perceptual functioning that your family is facing?

Self-Perception

1. How would you describe your family’s self-perception?
2. Are there any challenges related to self-perception that your family is facing?

Role Relationship

1. How would you describe your family’s roles and relationships?
2. Are there any challenges related to roles and relationships that your family is facing?

Sexuality

1. How would you describe your family’s sexuality?
2. Are there any challenges related to sexuality that your family is facing?

Coping

1. How does your family cope with stress and difficult situations?
2. What are your family’s strengths and challenges related to coping?

Additional Questions

• What are your family’s goals for health?
• What are your family’s resources and supports?
• What are your family’s needs and concerns?

Interview Instructions

• Be respectful of the family’s time and privacy.
• Ask open-ended questions that allow the family to share their own perspectives.
• Listen carefully to the family’s responses.
• Summarize the family’s responses to ensure that you have understood them correctly.
• Thank the family for their time and participation.

Interview Example

I recently conducted a family-focused functional assessment with a family of four. The family consisted of the parents, John and Mary, and their two children, ages 10 and 12. The interview was conducted in the family’s home.

Values/Health Perception

• The family values health and well-being. They believe that it is important to eat healthy foods, get enough sleep, and exercise regularly.
• The family’s values influence their health-related decisions. For example, they choose to eat organic foods and to avoid processed foods.
• The family’s strengths related to health include their strong support for each other and their commitment to healthy living. Their challenges related to health include the father’s high blood pressure and the mother’s anxiety.

Nutrition

• The family’s usual eating habits are fairly healthy. They eat a variety of fruits, vegetables, and whole grains. They also limit their intake of processed foods and sugary drinks.
• The family’s favorite foods include grilled chicken, salmon, and brown rice.
• The family’s challenges related to eating healthy include the father’s love of junk food and the mother’s busy schedule.

Sleep/Rest

• The family’s usual sleep habits are good. They all go to bed at a reasonable hour and get enough sleep.
• There are no challenges related to sleep that the family is facing.

Elimination

• The family’s usual elimination habits are normal. They all have regular bowel movements and bladder function.
• There are no challenges related to elimination that the family is facing.