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* 1. Thank you for your interest in my in working with me and investing in yourself and your family through personalized parenting coaching sessions. Completing this questionnaire does not mean that you are required to purchase a coaching package or guarantee that you will be approved for coaching services.

Rather, completion of this form helps to identify your current challenges, goals, and parenting philosophies to determine if my services are a good fit for you and to make our future time together as efficient as possible. I will follow up via email within 24 hours of completing the questionnaire and you will have the opportunity to ask any questions that you have before confirming your purchase.

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* 2. What are the age(s) of your child/ren?

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* 3. Please tell me a little about your journey with your child up to this point. What is working and what is not working?

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* 4. Why are you interested in working with a parenting coach and what are you looking for in the coach that you work with?

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* 5. Are you interested in parenting coaching to cover one specific topic or to discuss a variety of topics? What topic(s) do you want to focus on?

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* 6. What is the biggest parenting challenge(s) that you are currently facing? How is this impacting you on a day to day basis? What have you done to address this problem(s)?

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* 7. How urgent is it for you to get help for your child and overcome your current challenge(s)? (1 = No immediate need for support; 10 = crisis, we need help and support immediately)

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* 8. Are you willing to work with a parenting coach and follow-up with recommendations to create a customized program for you and your child? Why or why not? (timing, not urgent, etc.)

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* 9. What else is important for me to know when considering support options for you and your family?

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* 10. What coaching package(s) are you most interested in at this time (premium, mini, micro, or email)? Do you prefer your scheduled consultation(s) to be video calls, phone calls without video, or online chats? Are there certain days of the week or times of day that work better/worse for you?

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