Challenges Questionnaire

    (Select one)

    * required

    My child has big negative reactions to what I experience as small setbacksI’m constantly battling over screen time, chores, or basic responsibilities — it feels like everything is a negotiation or argumentMy child lacks motivation or confidence — they give up easily, won’t try new things, or seem disengaged from school/activitiesI feel like I’m failing as a parent — I’m either too harsh or too permissive, and I don’t know what an alternative approach would look likeMy child and I are disconnected — they don’t talk to me or we clash constantly
    (Select one)

    * required

    Tried solutions that didn’t workDon’t know where to startDon’t have time to figure it outCan’t afford the right help
    (Select all that apply)

    * required

    Peaceful mornings and eveningsThey’re curious about what I have to say and vice versaWe enjoy spending time togetherLess yelling and stress in our houseMy child bounces back from setbacksOther

    * required

    Yes, please contact meNo, thank you

    Thank you so much for taking the time to fill this out!

    Please contact me with any questions.

    — Lisa