First...

Please fill out the form below so we can prepare for your Consultation.

Initial Consultation

First Name *

Last Name *

Phone Number *

Email *

Age(s) of your autistic child(ren) *

How old was your child at the time of diagnosis? *

What is the biggest parenting challenge you are currently facing? *

What are your parenting goals? *

a. Learning to address and prevent your child’s challenging behavior

b. Helping your child successfully navigate everyday experiences without tantrums or meltdowns

c. Feeling confident in your parenting

d. Reducing parenting stress

e. All of the above

What supports have you tried to help your child? Check all that apply *

ABA

Occupational Therapy

Mental health care

Parenting courses

Read parenting books

Parenting workshops

Other

None of the above

How ready are you to invest in parent coaching to get the tools and support you need? (Please note that coaching requires a personal financial investment that is not covered by insurance). *

a. I am ready to do what it takes.

b. I am a little apprehensive, but I know that the changes I want to see start with me.

c. I am not ready to devote time or resources and I just want a few free tips.

What are you hoping to receive from a call with me and my team? *

Why is now the right time for you to explore parent coaching?

On a scale from 1 to 10, how willing are you to try new parenting approaches and ideas *

I promise to show up for my call on time and distraction free. STOP AND THINK BEFORE RESPONDING. If you agree type "Yes I will" *

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