Does My Child Need Counselling? Self-check from Sana Psychological.

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Have I felt like my child is experiencing moods and/or behaviours that are unusual for them and not explained by circumstance?* This field is required.

YESNO

2

In the past 3 months have you noticed changes to your child's eating, hygiene, and/or sleeping habits not created by a physical condition?* This field is required.

YESNO

3

In the past 3 months have you noticed that your child is sad, down, blue and/or numb the majority of the time or significantly more than usual?* This field is required.

YESNO

4

In the past 3 months has your child had thoughts or plans of hurting themself or attempted to harm themselves, including behaviours like cutting?* This field is required.

YESNO

5

Has your child been engaging with substances like alcohol, vaping, and/or cannabis?* This field is required.

YESNO

6

In the past 6 months, has your child's school performance and/or motivation and/or satisfaction declined for no obvious reason?* This field is required.

YESNO

7

In the past 3 months, have you felt like your child's feelings and/or behaviours were out of control?* This field is required.

YESNO

8

In the past 3 months have you struggled with your typical parenting strategies not seeming to be effective?* This field is required.

YESNO

9

Does your child have a diagnosed learning disability, mental health condition, neurodivergence or physical health condition?* This field is required.

YESNO

10

In the past 3 months, has your child or family had any recent major changes or stressors?* This field is required.

YESNO

11

Do you feel stuck or lost in your relationship with your child?* This field is required.

YESNO

12

Do you feel like your child would benefit from some support from a neutral and objective third party?* This field is required.

YESNO

13

Is your child open to seeing a therapist?* This field is required.

YESNO

14

What is your email? We'll send you more info.* This field is required.This is not a substitute for professional assessment or diagnosis. You may receive recommendations & free resources from Sana Psyc; you are free to unsubscribe at any time.

example@example.com

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Calculation

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Sorry :( This form is only availble in Canada

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