Parent/Child Relationship Group Interest Form
This form serves to register interest in the coaching/support group focused on the following topic: "How to Develop a More Meaningful Relationship With Your Parents (As an Adult)".
Email address *
Name
Which BEST describes your relationship with your parent(s)?
Clear selection
Why do you want to participate in this group? What interests you? What do you hope to gain?
What concerns do you have about participating in a group like this?
On a scale of 1 to 10, how motivated are you to see a change in this area of your life?
indifferent, ambivalent, resistant
extremely motivated!
Clear selection
What's the best next step for you? (Check all that apply.)
Submit
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