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Get and Sign History Screen Version 2007-2022 Form
Child ever seen a family member arrested or in jail?
Has there ever been a time in your child’s life when he/she did
not have the right care (e.g. food, clothing, place to live)?
Has someone ever made your child see or do something
sexual?
Has your child ever seen or heard someone else being forced
to do something sexual?
Has your child ever watched people using drugs, like smoking
drugs or using needles?
Has something else happened to your child that was very scary
or where somebody could have...
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