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Get prepared for your teen coaching call, please complete the short onboarding form below:
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" indicates required fields
Child's Name
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First
Last
Parent's Name
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First
Last
Parent's Email
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This consultation is for parents/guardians only. How old is your child?
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Please confirm all decision-makers will be present during the Zoom call.
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Yes
No
Other
How did you hear about Dr. RJ?
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A Teen's Perspective Podcast
Facebook Ad about Teen Life Coaching
Google Search
Family or Friend
Other
Which of the following best describes the reason you are interested in Dr. RJ's coaching program
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Subscriber to Dr.RJ's podcast, A Teen's Perspective
Dr. RJ’s previous client’s testimonials
Dr. RJ is the #1 rated Teen Life Coach in the U.S.
Member of Dr. RJ’s Private Facebook group
Other
Tell us a little about your teen and why it is important for them to be part of Dr. RJ's coaching program?
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Upon completing Dr. RJ’s coaching program, what changes would you like to see in your child?
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How would you describe the relationship with your child?
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Excellent
Good
Poor
Other
We recommend that both parents/guardians attend this consultation. If your child qualifies for Dr. RJ's program, you will have the opportunity to enroll during the consultation.
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Both parents /guardians will attend
One parent/guardian will attend.
Other
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