Ask the question: "Do I have the courage to question anything and everything that I think I know about parenting that might be wrong for my kids' future?"

If the answer is yes, we invite you to be our guest. If the answer is no, then it was nice to know you!

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Last Name *

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The best time to contact you *

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How many children do you have? *

What are their age groups? *

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Are you raising your children alone, or do you have support?

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Supports:

Spouse

Your parents/parents-in-law

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Other (supports):

What diagnosis, if any, do your children have? Check everything that applies. *

ADHD

Oppositional Defiance Disorder (ODD)

Sensory Processing Disorder (SPD)

Anxiety

Depression

Other (diagnosis):

What would you like to see more of? Check everything that applies. *

Cooperation

Respect

Independence

Joy

Harmony

Peace

Time

Love

Other (what would you like to see more of?):

What have you tried so far? Check everything that applies. *

Medication

Therapy

Counselling

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Other (what have you tried so far?):

On a scale from 1-12, how committed are you to Raising Healthy, Happy, Cooperative Kids?

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On a scale from 1-12, how much of a priority is it to you to help your kids?

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On a scale from 1-12, how coachable are you?

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How many hours a week do you have to commit to mastering the CCFL principles? *

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However many it takes
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What do you like best about Creating Champions For Life so far?

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