Is My Child A Monster? Guest Application

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Thank you so much for your interest in sharing your parenting journey with us! We are so excited to learn about you and your family. This form is to express interest only and is not a commitment to appear on the show. It just gets the conversation started. Any information you share here is protected and confidential. We ask for demographic info to help make sure we are sharing the stories of all kinds of parents. Most fields are optional, so provide as little or as much information as you'd like to help us get to know you. If you are chosen as a guest all identifying information will be anonymized for the show.

We review all application that come in and will reach out to families whose stories we want to learn more about. If you are chosen as a guest you will receive 2-4 free therapy sessions with Leslie Cohen-Rubury that will be recorded as future episodes of Is My Child a Monster? A Parenting Therapy Podcast.

For more information listen to our mini episode called What Its Like To Be A Guest On The Podcast

Email *

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First Name *

Last Name

Phone Number *

How did you first hear about the podcast?

City and State of Residence

What are your pronouns?

What is your sexual orientation?

What are your race and ethnicity?

Current Marital Status *

Never Married

Married

Separated

Divorced

Widowed

Single

Long term relationship

Other:

What are the genders and ages of your children? *

Which child/children are you seeking help with? *

What are your main concerns/struggles with this child? *

What is your relationship to the child? *

Mother

Father

Grandparent

Caregiver

Other:

Have you seen other therapists for parenting help?

Yes

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If Yes, what was your experience? Was it helpful?

Are there any dynamics between you and your co-parent, if you have one, that make parenting harder?

What do you consider some of your parenting strengths?

What do you consider some of your parenting challenges?

Is there anything else you would like us to know about you, your family, or your child?

Send me a copy of my responses.

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