1:1 session form Parent + Family Snapshot Name First Name Last Name Best Email * Preferred Pronouns: Who is this session about (name + age)? Any other children? Ages? Tell me about your family setup (co-parenting, solo, partnered, blended, etc.): What’s Going On? In your own words, what’s going on with your child that made you book this session? When did you first notice things feeling “off” or harder than usual? What behaviors or moments concern you most right now? What have you tried already? What’s helped? What hasn’t? Have any major life changes or stressors happened in the past 12–24 months? (e.g., new sibling, divorce, move, death, school change, illness, new partner, loss of a pet) Thank you!
