LaunchPoint Inquiry Form

LaunchPoint Inquiry Form
Relationship to Client*

SelfParentOther
Parent/Guardian Name*

First NameLast Name
Your Email*
example@example.com
Your Phone Number*
Young Adult's Name*

First NameLast Name
Young Adult's Age*
What is your child's current educational status?*

High school student (freshman to junior)High school seniorTaking a gap yearHigh school graduate, no college aheadCollege student (freshman to junior)College seniorOther
What is your current educational status?*

High school student (freshman to junior)High school seniorTaking a gap yearCollege student (freshman to junior)College seniorOther
What is your child's current employment status?*

Working part-timeWorking full-timeNot currently workingOther
What is your current employment status?*

Working part-timeWorking full-timeNot currently workingOther
Is your child aware that you are exploring this service for them?*

Yes, and they are interestedYes, but they are hesitantNo, they don’t know yetNo, and I am unsure how they will feel about it
What are your primary goals for your child as they transition into adulthood? (Select all that apply)

Moving out & becoming financially independentDeveloping a strong work ethicGaining confidence in decision-makingStrengthening time management & productivityUnderstanding real-world responsibilities (bills, rent, etc.)Building healthy relationships & communication skillsPreparing for college or a career pathOther
What are your primary goals as you transition into adulthood? (Select all that apply)

Moving out & becoming financially independentDeveloping a strong work ethicGaining confidence in decision-makingStrengthening time management & productivityUnderstanding real-world responsibilities (bills, rent, etc.)Building healthy relationships & communication skillsPreparing for college or a career pathOther
What concerns do you have about your child's transition to adulthood?
What concerns do you have about your transition to adulthood?
What expectations do you have of your child's next steps in life? Are they aware of these expectations?
Do you and your child experience tension or disagreements about their next steps in life?

Yes, frequentlyOccasionally, but we work through itNot really, we are mostly on the same page
Would you be open to participating in parent-only sessions to support your child’s transition?

YesMaybe, if neededNo, I only want them to receive coaching
Which services are you most interested in for your child? (Check all that apply)*

Career planning & strength assessmentsResume building & job application supportInterview prep & networking skillsBudgeting & financial literacyCredit building & banking essentialsMeal planning & cooking basicsApartment setup & independent living skillsTime management & personal productivityConflict resolution & communication skillsParent-teen mediation for a smoother transitionLeadership mentoringSpiritual mentoringOther
Which services are you most interested in? (Check all that apply)*

Career planning & strength assessmentsResume building & job application supportInterview prep & networking skillsBudgeting & financial literacyCredit building & banking essentialsMeal planning & cooking basicsApartment setup & independent living skillsTime management & personal productivityConflict resolution & communication skillsParent-teen mediation for a smoother transitionLeadership mentoringSpiritual mentoringOther
What do you believe will be your child’s biggest challenge in our working relationship?

Resistance to guidance or authorityLack of motivation / directionSocial or emotional strugglesProcrastination & time managementLack of real-world experienceNoneOther
What are your expectations of this experience?
What kind of results would make this investment feel worthwhile for you?
Is there anything else you’d like to share about your child’s situation or needs?
Is there anything else you’d like to share about your situation or needs?
Are you financially prepared to invest in services for your child?*

Yes, I’m ready to move forwardYes, but I need to see package options firstNo, I’m just exploring options for now
Are you financially prepared to invest in services?*

Yes, I’m ready to move forwardYes, but I need to see package options firstNo, I’m just exploring options for now
Would you be interested in a quick 15-minute consultation call to discuss whether this is a good fit?*

No, I’m not ready yetYes, let’s schedule a call
If yes, select a time that works for you:
How did you find out about our services?*

Social MediaSearch EngineReferralOther
If Referral, please list who:
CONFIDENTIALITY:

I understand that all information I entered in this form will be considered strictly confidential.

The data gathered from this form will only be used as a basis for information gathering and assessing.
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