What are your biggest parenting challenges right now?
Select all that apply
Daily routines and structure
Handling meltdowns or tantrums
Communication with my child
Balancing work and family life
Setting boundaries and discipline
Navigating parental stress
None of these
How much does your biggest parenting challenge impact your daily life?
Select one
Minimal impact
Noticeable but manageable
Moderately disruptive
Overwhelmingly impacts every aspect of life
Which areas of your life are most affected?
Select up to 3
Personal stress levels
Family routines
Work performance
Relationship with partner
Physical health/self-care
Social life
Confidence in parenting
Which areas of your life are most affected?
Select up to 3
Personal stress levels
Family routines
Work performance
Relationship with partner
Physical health/self-care
Social life
Confidence in parenting
What's your biggest obstacle to making positive changes?
Select up to 3
Lack of time
Inconsistency in applying strategies
Disagreements with partner/co-parent
Feeling overwhelmed or stressed
Resistance from my child
Not sure where to start
How would you describe your current parenting style?
Select one
Authoritative. I’m firm but responsive.
Permissive. I can be lenient and indulgent.
Authoritarian. I set strict rules and expectations.
I’m fairly hands-off
A mix of styles
Not sure
What's your primary goal for working with a coach?
Select one
Build stronger relationship with my child
Learn new parenting techniques
Reduce family stress and conflict
Improve child's behavior
Enhance parent-child bond
Boost my parenting confidence
Address specific developmental concerns
What coaching style do you think would work best for you?
Select one
Directive (I’d like my coach to provide specific instructions and advice)
Collaborative (I’d like to work together to find solutions)
Supportive (I’d like my coach to primarily listens and offers emotional support)
Challenging (I’d like to be pushed out of my comfort zone)
Not sure
What's most important to you in a coaching relationship?
Select one
Quick responses to my questions
In-depth discussions about strategies
Accountability and follow-up
Flexibility to address urgent issues
Regular progress reviews
Tailored resources and materials
How do you envision integrating coaching into your daily life?
Select one
Quick tips and reminders throughout the day
Dedicated time for reflection and planning
Real-time support during challenging moments
Reviewing and discussing specific situations after they occur
Setting and working towards weekly goals
Not sure, need guidance on this
How would you prefer to interact with your coach?
Select one
Purely asynchronous messaging
Unlimited messaging with weekly video calls
Primarily through scheduled video sessions
A mix of messaging and video calls
Voice calls only
Not sure, would like to discuss options
If you had regular coaching sessions, what duration would you prefer?
Select one
15-minute check-ins
30-minute focused sessions
45-minute in-depth discussions
60-minute comprehensive sessions
Flexible, depending on the topic
I’d prefer asynchronous messaging only
Not sure, would like to discuss options
If you had regular coaching sessions, how often would you ideally like to connect with your coach?
Select one
2-3 times per week
Once a week
Every other week
Monthly
I’d prefer asynchronous messaging only
Not sure, would like to discuss options
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