Parent Coaching Info and Goals

I am excited to begin our coaching sessions together! To help me support you best, please fill out the below information.

I recommend that you write your answers in a google or word document and then copy/paste into the blanks below, just to avoid any lost information.

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Thank you for your response. ✨

About You

Name

Phone

Name of Spouse/Co-parent

Will they be joining the sessions?

About Your Family

Please list the name, age, and gender of each family member, and a short phrase to describe each person. Enter each family member on separate line.

Have any of your children joined your family through foster care or adoption, or experienced significant trauma? If so, please give a brief explanation.

What are your hopes and dreams for your family?

About Your Parenting

Briefly describe the families in which you and your spouse (or co-parent) grew up, and how that impacts your parenting.

What else has shaped or is affecting your parenting? – e.g. defining experiences, personality traits, current stressors, etc.?

To what degree (0-10) do you enjoy and connect with your child(ren)?

What are ways that you connect with your child that you both enjoy?

List examples of things you do in discipline/conflict situations that are effective.

List examples of things you do in discipline/conflict situations that are ineffective.

What would you most like to grow in as a parent?

What do you need from me as a coach, to help you make the most progress in these areas?

About Your Child(ren)

What does your child(ren) do well?

What behavior challenges of your child(ren) are the most difficult for you?

About Coaching

Have you received parent coaching before? If yes, what was your experience?

What would make your first coaching session really beneficial for you?

How familiar are you with Connected Families and our framework?

Thank you for your response. ✨

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