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)".
Which BEST describes your relationship with your parent(s)?
We don't spend a ton of time together. When we do, we keep conversation light.
Things tend to get heated - lots of arguing and hurt feelings. We don't listen to each other well.
When we're together, I put my opinions and feelings aside and just go along with what they want/say.
I play the role of mediator, working to keep the peace between them.
I try to cheer them up when they're down, and calm them down when they're upset.
I present my "best" self - accomplishments, appearance, behavior - but it's never enough.
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
What's the best next step for you? (Check all that apply.)
Please send me more details about the coaching group - e.g. time frame, topics, work load, cost, location.
Put me on a waiting list for the next group, and keep me posted as we get closer!
I'd like to set up a conversation with Deborah to discern if this group would be a good fit for me.
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