Feb 2026
Connection Counts
Caregiver Check-In Giveaway
Win a $50
gas card!
We're inviting caregivers to pause before correcting and try one moment of connection instead. A small shift—such as validation, movement, or quiet presence—can help a child feel safe, regulated, and ready to learn. Notice what changes when connection comes first. One moment is enough. *** Complete this from and return to your therapist or online using our HIPAA-compliant Jotform Caregiver Check-in to be entered into a drawing to win 1 of 3 $50 gas cards. ***
Caregiver Name
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Rise Child(ren):
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Rise Therapist
*
Please Select
Ms. Marie - OT
Ms. Kinsey - SLP
Ms. Tina - OT
Ms. Daneel - OT
Ms. Hannah - OT
Ms. Cassie - OT
Ms. Kim - OT
Ms. Karen - OTA
Ms. Ella Grace - OTA
Ms. Gracelynn - OTA
Mr. Sawyer - OT
If you have more than one child with different therapists, please select one therapist to reference.
Connection Counts Challenge
Pause before correcting one time this week and try:
Validation
Movement
Quiet presence
Write one sentence about what you noticed:
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What happened when you paused before correcting? How did you connect first with your child(ren).
I give permission for my reflection to be shared anonymously.
*
I give consent for my reflection to be shared with no names or identifying information
I DO NOT give consent
Signature
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Date
*
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Month
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Day
Year
Date
Reminders: participational is optional, one entry per caregiver, and participation or responses do not impact services or care. Thank you for partnering with us and supporting connection first.
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