Clarity Questionnaire

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This form is to give me some information before you book your clarity call to see if you are a fit for working with me in a group or 1:1, so I can best support you with your children & family dynamics. (the link to book your time is at the bottom of the form).
Parenting is not an easy role, but can be massively rewarding. My intention is for you to be able to enjoy your journey & feel confident that you have the tools to help your child/children, help yourself, & know you are a great parent.

Email *

Name *

Telephone Number *

How many children do you have? *

Names and ages *

What is your main challenge right now? *

What impact is it having? *

Why are you looking for support at this time? *

Are you looking for both help with a specific challenge and support to change longer term family dynamics or struggles? *

Specific challenge

Longer term struggles

Both

Other:

Where did you hear about me? If someone recommended you, please leave their name here. *

What makes you think I am the right person to help you on your journey right now? *

Which is most true for you right now? My 1:1/2:1 services are a 4 figure investment. *

I have the time, energy and financial resources to invest in myself & family life.

I have access to, or am willing to find, the financial resources, time and energy to invest in myself & family life.

I am not willing to invest in myself & family because it will be a stressful financial burden for me.

I really want to change things but don't have the resources

Other:

Let me know anything else you feel I need to know before our call. Here's the link to book your call https://calendly.com/sparkescoaching/30min

Send me a copy of my responses.

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