Untangling Stress Discovery Questions

1
Child's Name
First Name
Last Name
2
Child's Birth Date
Month
Day
Year
3
Parent Name
4
Parent E-mail
5
Parent Phone Number
Area Code
Phone Number
6
Some of my child's favorite things to do are:Please list at least 2
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7
A few of my child's key strengths are:Feel free to list as many as you'd like!
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8
My child is currently struggling to/with...(Behaviors or tendencies that you're observing as the parent)
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9
How is this impacting your family life?
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10
How is this impacting your child's school experience?
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11
How is this impacting your child socially?
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12
What are 3 ways your child manages stress?
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13
During the next year, I hope my child...Please list at least 3 goals
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14
I will know my child is making progress when I see...Please list three specific behaviors
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15
Anything else you want me to know?
16
I'm so glad you reached out, how did you hear about me?
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