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Father Figure — Parent Coaching & Support Intake
Thanks for booking a Parent Coaching & Support session with Father Figure. This short form helps me understand what’s happening and what you’d like support with so we can make the most of our time together.
Parent/Caregiver Name
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Email
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Child’s Age
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Who lives in the home with the child?
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What would you like support with right now?
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What behaviours or situations have been the most challenging lately?
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When does the behaviour usually happen?
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Morning
School time
After school
Mealtime
Homework
Screen-time transitions
Bedtime
Other
What normally happens right before the behaviour?
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How do you usually respond when it happens?
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What have you already tried?
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What seems to work well with your child?
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What would you like to leave our session feeling clearer about?
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Is there anything else you think I should know before we meet?
Submit Intake