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Undeletable Dad
Kindly complete this form to request a phone or Zoom interview regarding any coaching or programs.
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Name
*
Your answer
Email Address
*
Your answer
Tell me about your children (age, gender)
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Your answer
Which of the following are important issues for you? Check all that apply
Getting more time or opportunities to be with your child/ren
Desire to sidestep future family court challenges
Eliminating ongoing conflict with your ex
Improving the relationship between your child/ren and your new spouse/partner
Preparing your child/ren to meet a future new girlfriend/significant other
Resolving problems around parenting, discipline or respect
Dealing with alienated or brainwashed child/ren
Overcoming loss of access to your child/ren
Is there anything else you would like me to know about your situation?
Your answer
What have you tried already (coaching, counselling, reunification therapy, or other) and was it helpful?
Your answer
What level of investment are you prepared to make to achieve and maintain a stable, integral, meaningful presence in your child's life ?
*
$0-$2500
$2500-5K
$5K-$10K
$10-15K
$15-25K
$25-50K
$50-100K
$100K+
Are you prepared to make the above investment at this time if we have a phone interview and determine that you're a good fit for a program at that level?
*
Yes
No
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