Are you ready to learn alternative methods to time outs, feel confident about your parenting + give yourself the sweet care you deserve?
Let's Get Started!
Question 1 of 14
Name (First + Last)
Question 2 of 14
Best Email Address
Question 3 of 14
Phone Number
Question 4 of 14
Facebook Profile URL (if applicable)
Question 5 of 14
Instagram Profile (if applicable)
Question 6 of 14
How did we find each other?
Education Optimist Show Podcast
Facebook
Instagram
Word of Mouth
Other
Question 7 of 14
What is the number one parenting goal you want to accomplish in the next 3-6 months?
Question 8 of 14
What do you struggle with when it comes to reaching this goal?
Question 9 of 14
What have you tried to work towards a remedy for the situation?
Question 10 of 14
On a scale of 1-5 how important is it to you to overcome your parenting obstacles? 1 being least important and 5 being most important.
1
2
3
4
5
Question 11 of 14
If we do work together what would be the most hoped for outcome for you and your family?
Question 12 of 14
Are you ready to invest in yourself, your family, + your child right now?
YES! I am ready to invest in myself, my family, + my child, emotionally, physically, spiritually + financially.
NO, I am not ready to invest in myself, my family, + my child, emotionally, physically, spiritually, + financially at present.
Question 13 of 14
Your success depends on an "I'M ALL IN" mentality. If we are to get on the phone + we decide we are a perfect fit for each other, are you ready to be ALL IN for your parenting transformation, right now?
Yes! I'M ALL IN - Let's Rock!
No.
Question 14 of 14
To finalize your application for a free consultation, answer yes or no, I (insert your name) agree to be open minded, honest, + coachable on our call. I want to be fully present + take action on what we discover during our call.
Yes! I'M ALL IN.