JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Parent Survey, Upcoming Mini-Course
Parents, I'm working on a mini-course to help you tackle your toughest parenting challenges and I need your help! Please take a five (5) minutes to give your feedback below. Thank you!!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full Name
*
Your answer
How do you communicate your expectations with your child? (Select all that apply)
*
"You need to do this or else." (Authoritarian)
"We can negotiate a compromise as long as it's reasonable." (Democratic)
"Don't cry, here you can have the cookie, just calm down." (Permissive)
Required
What is an aspect of your personality that YOUR CHILD would change ABOUT YOU if they could?
*
Your answer
Which of the below skills would you like to improve? (check all that apply)
*
Mindfulness (self-reflection, self-awareness)
Communication (having a two-way conversation, being assertive)
Self-Care (making time for mental & physical health, hobbies, friends, me-time)
Self-Regulation (tools and strategies for regulating emotions & impulsivity/reactivity)
Understanding my child's behavior (responding to challenging behaviors)
Setting limits and boundaries (setting compassionate boundaries that your child respects)
Secure Attachment (creating an emotionally safe relationship)
Problem-Solving (strategies to solve your toughest problems collaboratively)
Self-Esteem, Confidence (parenting confidently, raising confident kids)
Meditation (meditative practices that work for your lifestyle)
Journaling (activities that promote self-reflection and a growth mindset)
Other:
Required
If I were to create an online course, what parenting struggles are you facing right now that you would like to solve?
*
Your answer
What level of support would be MOST appealing to you?
*
At my own pace (I am a self-starter and prefer to do things solo, on my terms.)
With accountability (I prefer to have regularly-scheduled, one-on-one support.)
With a group (I prefer connecting with others in a support-group setting.)
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of MindFull Education.
Report Abuse
Forms
