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Parent Update
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Name of person filling out this form
Your answer
Your child's name
Your answer
How would you rank your child's mood since our last session?
Very Bad
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Excellent
Clear selection
How would you rank your child's family relationships since our last session?
Very poor (rage, argumentative, etc.)
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Amazing! (getting along, peaceful)
Clear selection
How would your rank your child's friendships since our last session?
Very concerning, isolated, alone, etc
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Amazing, love his friends, seems happy
Clear selection
How would your rank how your child is doing in school since our last session?
Very poor, failing multiple subjects
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Great, on top of things
Clear selection
How would you rank your child's ability to cope with challenging situations since our last session?
Really struggling
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Seems to be mastering challenges
Clear selection
How would you rank your child's life outside of school? (sports, clubs, hobbies, etc.)
Very concerned
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Seems to be very happy and content
Clear selection
What are you really proud of that your child has done?
Your answer
What has been a challenge that you've noticed with your child?
Your answer
What is one question you are wondering about your child's mental/emotional health?
Your answer
Is there anything else that would be important to know for our session?
Your answer
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