The purpose of this form is to be able to make the most of the time we have together during our initial session. Feel free to add as much or as little detail as you like.
What is the composition of your family?
{"type":"textarea","name":"strugglingWith","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"Name(s) and age(s) of child(ren), adult caregivers and any other relevant information"}
What are you struggling with?
{"type":"textarea","name":"strugglingWith","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"Be as detailed as you like; I'm the only one who sees your answer."}
What would it be like for you if this area of your life was going smoothly?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","height":80,"placeholder":"If you can't imagine it, that's ok, just do your best. "}
What have you tried so far?
{"type":"textarea","name":"__generic2","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","height":80,"placeholder":""}
And finally... where did you hear about Understanding Kids Coaching?
{"type":"textarea","name":"__generic3","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","height":80,"placeholder":""}
Thanks for taking the time to prepare for our initial session. Speak soon!