Pre-Breakthrough Session Questionnaire
Hello!


I'm so excited that you're here!  


Please let me know more about you in the Qs below. Your answers are for my eyes only, so feel free to get anything off of your chest. You can tell it to me straight.


xoxo,
Pam
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First name *
Last name *
E-mail address *
Phone number *
I'm in my... *
I have a child/stepchild in... *
[Check all that apply]
Required
Right now, I... *
Required
How did you hear about my services? *
What would you like me to know about your family? *
What's your biggest parenting struggle right now? *
On a scale of "meh" to "VERY," how important is it to you to handle these issues right now? *
What three words would others use to describe you? *
If you had an entire day to yourself, how would you spend it? *
What's your #1 goal in hiring a parenting coach? What do you hope to accomplish from working with me? *
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